MEDICARE: COMPREHENSIVE ORTHOPAEDICS & REHABILITATION, P.A.

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	207XX0005X	Sports Medicine (Orthopaedic Surgery) Physician	L2467	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

General Provider Information

NPI Number	:	1669654398
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	COMPREHENSIVE ORTHOPAEDICS & REHABILITATION, P.A.

Provider Business Mailing Address
First Line	:	1120 W CAMPBELL RD
Second Line	:	SUITE 109
City	:	RICHARDSON
State	:	TX
Zip	:	75080-2976
Country	:	US
Telephone Number	:	214-575-2663
Fax Number	:	214-575-2664

Provider Business Practice Location Address
First Line	:	1120 W CAMPBELL RD
Second Line	:	SUITE 109
City	:	RICHARDSON
State	:	TX
Zip	:	75080-2976
Country	:	US
Telephone Number	:	214-575-2663
Fax Number	:	214-575-2664

Authorized Official
Title or Position	:	PRACTICE MANAGER
Name	:	CASSIE BABAROVIC
Credential	:
Telephone Number	:	214-575-2663

Provider Enumeration Date	:	12/05/2007
Last Update Date	:	06/12/2024

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Directions to “COMPREHENSIVE ORTHOPAEDICS & REHABILITATION, P.A. ” Practice Location

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