MEDICARE: TOTAL JOINT CIN OF NORTH TEXAS LLC

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	207T00000X	Neurological Surgery Physician		TX
2	207X00000X	Orthopaedic Surgery Physician		TX

General Provider Information

NPI Number	:	1023523669
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	TOTAL JOINT CIN OF NORTH TEXAS LLC

Provider Business Mailing Address
First Line	:	102 WOODMONT BLVD STE 350
Second Line	:
City	:	NASHVILLE
State	:	TN
Zip	:	37205-2216
Country	:	US
Telephone Number	:	615-386-0064
Fax Number	:	615-386-0067

Provider Business Practice Location Address
First Line	:	6565 N MACARTHUR BLVD STE 225B
Second Line	:
City	:	IRVING
State	:	TX
Zip	:	75039-2490
Country	:	US
Telephone Number	:	615-386-0064
Fax Number	:	615-386-0067

Authorized Official
Title or Position	:	SVP, MARKETING AND COMMUNICATIONS
Name	:	JOHN HANNON
Credential	:
Telephone Number	:	615-386-0064

Provider Enumeration Date	:	12/05/2017
Last Update Date	:	06/27/2022

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Directions to “TOTAL JOINT CIN OF NORTH TEXAS LLC ” Practice Location

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