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NPI Code Detail

MEDICARE: ORTHOPEDIC SPECIALITY ASSOCIATES

MEDICARE: ORTHOPEDIC SPECIALITY ASSOCIATES
Medicare Provider Information

Scope of Practice

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

# Taxonomy Code Taxonomy License Number License Number State
1174400000XSpecialistL4870TX

General Provider Information

NPI Number : 1588799845
Entity Type Code : Organization
Provider Name (Legal Business Name) : ORTHOPEDIC SPECIALITY ASSOCIATES
Provider Business Mailing Address
First Line : 800 5TH AVE STE 500
Second Line :
City : FORT WORTH
State : TX
Zip : 76104-7304
Country : US
Telephone Number : 817-878-5300
Fax Number : 817-250-5474
Provider Business Practice Location Address
First Line : 800 5TH AVE STE 500
Second Line :
City : FORT WORTH
State : TX
Zip : 76104-7304
Country : US
Telephone Number : 817-878-5300
Fax Number : 817-250-5474
Authorized Official
Title or Position : SCHEDULER
Name : MRS. APRIL M SHIRES
Credential :
Telephone Number : 817-820-4351
Provider Enumeration Date : 02/23/2007
Last Update Date : 08/22/2020

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Directions to “ORTHOPEDIC SPECIALITY ASSOCIATES ” Practice Location

Language Start Address Practice Location
These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

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