Healthcare Provider Details

I. General information

NPI: 1598106775
Provider Name (Legal Business Name): ORTHOPEDIC PARTNERS FOR SURGICAL ADVANCEMENT
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 07/16/2013
Last Update Date: 07/16/2013
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

4780 N JOSEY LN
CARROLLTON TX
75010-4615
US

IV. Provider business mailing address

PO BOX 1383
HOUSTON TX
77251-1383
US

V. Phone/Fax

Practice location:
  • Phone: 972-492-1334
  • Fax: 972-492-7909
Mailing address:
  • Phone: 800-785-8765
  • Fax: 281-820-1901

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363AS0400X
TaxonomySurgical Physician Assistant
License NumberK3848
License Number StateTX

VIII. Authorized Official

Name: DR. MICHAEL S SCHWARTZ
Title or Position: MEDICAL DIRECTOR
Credential: M.D.
Phone: 972-492-1334