Healthcare Provider Details

I. General information

NPI: 1831670397
Provider Name (Legal Business Name): NTOS LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 08/23/2018
Last Update Date: 06/09/2026
Certification Date: 06/09/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

4090 MAPLESHADE LN STE 100
PLANO TX
75093-0025
US

IV. Provider business mailing address

4090 MAPLESHADE LN
PLANO TX
75093-0024
US

V. Phone/Fax

Practice location:
  • Phone: 214-400-2905
  • Fax: 214-592-9935
Mailing address:
  • Phone: 214-400-2905
  • Fax: 214-592-9935

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207X00000X
TaxonomyOrthopaedic Surgery Physician
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code208100000X
TaxonomyPhysical Medicine & Rehabilitation Physician
License Number
License Number State
# 3
Primary TaxonomyN
Taxonomy Code208VP0000X
TaxonomyPain Medicine Physician
License Number
License Number State
# 4
Primary TaxonomyN
Taxonomy Code225100000X
TaxonomyPhysical Therapist
License Number
License Number State

VIII. Authorized Official

Name: SARAH TAYLOR
Title or Position: CREDENTIALING
Credential:
Phone: 214-592-9955