MEDICARE: ORTHOMED STAFFING 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	207L00000X	Anesthesiology Physician

General Provider Information

NPI Number	:	1225514276
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	ORTHOMED STAFFING LLC

Provider Business Mailing Address
First Line	:	PO BOX 800129
Second Line	:
City	:	DALLAS
State	:	TX
Zip	:	75380-0129
Country	:	US
Telephone Number	:	469-863-9978
Fax Number	:	214-594-9566

Provider Business Practice Location Address
First Line	:	15305 DALLAS PKWY STE 900
Second Line	:
City	:	ADDISON
State	:	TX
Zip	:	75001-6482
Country	:	US
Telephone Number	:	469-863-9978
Fax Number	:	214-594-9566

Authorized Official
Title or Position	:	MANAGER
Name	:	ALEX DAO
Credential	:
Telephone Number	:	469-863-9978

Provider Enumeration Date	:	07/12/2018
Last Update Date	:	06/01/2026

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Directions to “ORTHOMED STAFFING LLC ” Practice Location

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