MEDICARE: ORTHOTEXAS PHYSICIANS AND SURGEONS, PLLC

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	174400000X	Specialist
2	207X00000X	Orthopaedic Surgery Physician

Medicare Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	TXB117492	OTHER	TX	MEDICARE PART B GROUP PTAN
2	DR2337	OTHER	TX	RAILROAD MEDICARE

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
3	0052WC	OTHER	TX	BC/BS TEXAS

General Provider Information

NPI Number	:	1205137718
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	ORTHOTEXAS PHYSICIANS AND SURGEONS, PLLC

Provider Business Mailing Address
First Line	:	4780 N JOSEY LN
Second Line	:
City	:	CARROLLTON
State	:	TX
Zip	:	75010-4615
Country	:	US
Telephone Number	:	972-492-1334
Fax Number	:

Provider Business Practice Location Address
First Line	:	3200 COLORADO BLVD STE 101
Second Line	:
City	:	DENTON
State	:	TX
Zip	:	76210-6875
Country	:	US
Telephone Number	:	940-331-7222
Fax Number	:	940-514-2224

Authorized Official
Title or Position	:	EXECUTIVE VICE PRESIDENT
Name	:	CINDY S MURRAY
Credential	:
Telephone Number	:	972-395-2265

Provider Enumeration Date	:	11/15/2010
Last Update Date	:	08/23/2022

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Directions to “ORTHOTEXAS PHYSICIANS AND SURGEONS, PLLC ” Practice Location

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