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NPI 1508471335

NPI 1508471335 : TEXAS ORTHOPEDIC NETWORK, LLC : ALLEN, TX

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General NPI Number Information
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    NPI Number           |    1508471335
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    Entity Type          |    Organization 
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    Legal Business Name  |    TEXAS ORTHOPEDIC NETWORK, LLC 
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Dates
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    Enumeration Date     |    09/09/2020
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    Last Update Date     |    03/27/2025
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Provider Practice Location Address
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    Address Line         |    825 WATTERS CREEK BLVD STE 250 
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    City                 |    ALLEN
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    State                |    TX
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    Zip                  |    75013-3770
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    Country              |    US
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    Telephone            |    918-830-1090
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    Fax                  |    
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Provider Business Mailing Address
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    Address Line         |    7521 S OLYMPIA AVE # 1041 
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    City                 |    TULSA
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    State                |    OK
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    Zip                  |    74132-1855
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    Country              |    US
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    Telephone            |    918-830-1090
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    Fax                  |    
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Authorized Official
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    Title or Position    |    MANAGING MEMBER
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    Name                 |     CHRISTOPHER  PARKS 
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    Credential           |    AUTH. OFFICIAL
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    Telephone            |    918-830-1090
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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    Taxonomy Code        |    332BC3200X
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    Taxonomy Name        |    Customized Equipment (DME)
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    License Number       |    
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    License Number State |    
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Taxonomy #2
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    Taxonomy Code        |    335E00000X
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    Taxonomy Name        |    Prosthetic/Orthotic Supplier
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    License Number       |    
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    License Number State |    
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Taxonomy #3
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    Taxonomy Code        |    332B00000X
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    Taxonomy Name        |    Durable Medical Equipment & Medical Supplies
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    License Number       |    
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    License Number State |    
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