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	207X00000X	Orthopaedic Surgery Physician

General Provider Information

NPI Number	:	1619541711
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	:	972-395-2226
Fax Number	:

Provider Business Practice Location Address
First Line	:	204 MEDICAL DR STE 110
Second Line	:
City	:	SHERMAN
State	:	TX
Zip	:	75092-6372
Country	:	US
Telephone Number	:	972-985-1072
Fax Number	:

Authorized Official
Title or Position	:	CHIEF OPERATING OFFICER
Name	:	CINDY S MURRAY
Credential	:
Telephone Number	:	972-395-2265

Provider Enumeration Date	:	05/14/2021
Last Update Date	:	05/14/2021

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