MEDICARE: TEXAS ORTHOPAEDIC ASSOCIATES LLP

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy
1	207X00000X	Orthopaedic Surgery Physician
2	207XS0114X	Adult Reconstructive Orthopaedic Surgery Physician
3	207XS0117X	Orthopaedic Surgery of the Spine Physician
4	207XX0004X	Orthopaedic Foot and Ankle Surgery Physician
5	207XX0005X	Sports Medicine (Orthopaedic Surgery) Physician
6	207XX0801X	Orthopaedic Trauma Physician
7	207XS0106X	Orthopaedic Hand Surgery Physician

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
2	00L04G	OTHER	TX	BCBS

General Provider Information

NPI Number	:	1134360241
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	TEXAS ORTHOPAEDIC ASSOCIATES LLP

Provider Business Mailing Address
First Line	:	8210 WALNUT HILL LN
Second Line	:	STE 130 LB 11
City	:	DALLAS
State	:	TX
Zip	:	75231-4405
Country	:	US
Telephone Number	:	214-750-1207
Fax Number	:	214-739-5029

Provider Business Practice Location Address
First Line	:	7115 GREENVILLE AVE
Second Line	:	STE 310
City	:	DALLAS
State	:	TX
Zip	:	75231-5013
Country	:	US
Telephone Number	:	214-265-3200
Fax Number	:	214-265-3285

Authorized Official
Title or Position	:	PARTNER
Name	:	SCOTT O PASCHAL
Credential	:	MD
Telephone Number	:	214-265-3200

Provider Enumeration Date	:	03/19/2009
Last Update Date	:	11/02/2012

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