Healthcare Provider Details

I. General information

NPI: 1255731378
Provider Name (Legal Business Name): JOINT REPLACEMENT CENTER OF TEXAS PLLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 08/26/2014
Last Update Date: 01/28/2015
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

5228 W PLANO PKWY
PLANO TX
75093-5005
US

IV. Provider business mailing address

5228 W PLANO PKWY
PLANO TX
75093-5005
US

V. Phone/Fax

Practice location:
  • Phone: 972-250-5700
  • Fax: 972-250-5748
Mailing address:
  • Phone: 972-250-5700
  • Fax: 972-250-5748

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207XS0114X
TaxonomyAdult Reconstructive Orthopaedic Surgery Physician
License NumberM3465
License Number StateTX

VIII. Authorized Official

Name: JOHN W BARRINGTON
Title or Position: PRESIDENT
Credential: MD
Phone: 972-250-5700