MEDICARE: DOGWOOD ORTHOPAEDIC CLINIC, PA

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	332B00000X	Durable Medical Equipment & Medical Supplies		TX
2	174400000X	Specialist	G5595	TX

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
2	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1477562726
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	DOGWOOD ORTHOPAEDIC CLINIC, PA

Provider Business Mailing Address
First Line	:	612 N HIGH ST
Second Line	:	SUITE A
City	:	HENDERSON
State	:	TX
Zip	:	75652-5914
Country	:	US
Telephone Number	:	903-657-1441
Fax Number	:	903-657-5886

Provider Business Practice Location Address
First Line	:	612 N HIGH ST
Second Line	:	SUITE A
City	:	HENDERSON
State	:	TX
Zip	:	75652-5914
Country	:	US
Telephone Number	:	903-657-1441
Fax Number	:	903-657-5886

Authorized Official
Title or Position	:	PRESIDENT
Name	:	DR. ROGER C SESSIONS
Credential	:	M.D.
Telephone Number	:	903-657-1441

Provider Enumeration Date	:	08/05/2006
Last Update Date	:	05/06/2010

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Directions to “DOGWOOD ORTHOPAEDIC CLINIC, PA ” Practice Location

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