=====================================================
General NPI Number Information
=====================================================
NPI Number | 1174842488
-----------------------------------------------------
Entity Type | Organization
-----------------------------------------------------
Legal Business Name | ACTION ORTHOPAEDICS AND SPORTS MEDICINE, PLLC
-----------------------------------------------------
=====================================================
Dates
=====================================================
Enumeration Date | 05/26/2010
-----------------------------------------------------
Last Update Date | 03/06/2012
-----------------------------------------------------
=====================================================
Provider Practice Location Address
=====================================================
Address Line | 609 MEDICAL CENTER DR SUITE #2400
-----------------------------------------------------
City | DECATUR
-----------------------------------------------------
State | TX
-----------------------------------------------------
Zip | 76234-3836
-----------------------------------------------------
Country | US
-----------------------------------------------------
Telephone | 940-627-9077
-----------------------------------------------------
Fax | 940-626-8651
-----------------------------------------------------
=====================================================
Provider Business Mailing Address
=====================================================
Address Line | 609 MEDICAL CENTER DR SUITE #2400
-----------------------------------------------------
City | DECATUR
-----------------------------------------------------
State | TX
-----------------------------------------------------
Zip | 76234-3836
-----------------------------------------------------
Country | US
-----------------------------------------------------
Telephone | 940-627-6201
-----------------------------------------------------
Fax | 940-626-8651
-----------------------------------------------------
=====================================================
Authorized Official
=====================================================
Title or Position | SOLE OWNER
-----------------------------------------------------
Name | DR. SCOTT ALLAN HRNACK
-----------------------------------------------------
Credential | MD
-----------------------------------------------------
Telephone | 940-627-9077
-----------------------------------------------------
=====================================================
Scope of Practice (Provider's specialty)
=====================================================
Taxonomy #1
-----------------------------------------------------
Taxonomy Code | 207X00000X
-----------------------------------------------------
Taxonomy Name | Orthopaedic Surgery Physician
-----------------------------------------------------
License Number | M7280
-----------------------------------------------------
License Number State | TX
-----------------------------------------------------