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General NPI Number Information
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NPI Number | 1124505367
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Entity Type | Organization
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Legal Business Name | TEXAS CENTER FOR HIP & KNEE REPLACEMENT SURGERY, PLLC
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Dates
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Enumeration Date | 07/20/2018
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Last Update Date | 12/03/2018
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Provider Practice Location Address
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Address Line | TEXAS CENTER FOR HIP & KNEE REPLACEMENT SURGERY, PLLC 2821 E. PRESIDENT GEORGE BUSH HWY, SUITE 300
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City | RICHARDSON
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State | TX
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Zip | 75082
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Country | US
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Telephone | 214-930-1252
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Fax |
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Provider Business Mailing Address
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Address Line | TEXAS CENTER FOR HIP & KNEE REPLACEMENT SURGERY, PLLC 2821 E. PRESIDENT GEORGE BUSH HWY, SUITE 300
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City | RICHARDSON
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State | TX
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Zip | 75082
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Country | US
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Telephone | 214-930-1252
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Fax |
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Authorized Official
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Title or Position | OWNER, MEDICAL DIRECTOR
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Name | CHRISTOPHER BLAIR
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Credential | DO
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Telephone | 972-235-5633
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207X00000X
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Taxonomy Name | Orthopaedic Surgery Physician
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License Number | J6340
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License Number State | TX
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