MEDICARE: ORTHOPAEDIC SURGERY AND SPORTS MEDICINE ASSOCIATES, L.L.P.

Medicare Provider Information

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

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	207X00000X	Orthopaedic Surgery Physician		TX

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
3	CI9739	OTHER	TX	MEDICARE B RAILROAD

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
2	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
4	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

NPI Number	:	1821093683
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	ORTHOPAEDIC SURGERY AND SPORTS MEDICINE ASSOCIATES, L.L.P.

Provider Business Mailing Address
First Line	:	PO BOX 6770
Second Line	:
City	:	CORPUS CHRISTI
State	:	TX
Zip	:	78466-6770
Country	:	US
Telephone Number	:	361-883-2000
Fax Number	:	361-561-1354

Provider Business Practice Location Address
First Line	:	6118 PARKWAY DR.
Second Line	:
City	:	CORPUS CHRISTI
State	:	TX
Zip	:	78414-2455
Country	:	US
Telephone Number	:	361-883-2000
Fax Number	:	361-561-1354

Authorized Official
Title or Position	:	PHYSICIAN
Name	:	DR. BRIAN L PATTERSON
Credential	:	M.D.
Telephone Number	:	361-883-2000

Provider Enumeration Date	:	06/17/2005
Last Update Date	:	10/31/2023

6110 PARKWAY DR
CORPUS CHRISTI, TX
78414-2455

Practice Phone: 361-584-0044
Practice Fax: