MEDICARE: TEXAS ORTHO-SPINE ASSISTANTS LLC

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy
1	246ZC0007X	Surgical Assistant
2	246ZS0410X	Surgical Technologist
3	246ZX2200X	Orthopedic Assistant

General Provider Information

NPI Number	:	1699642686
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	TEXAS ORTHO-SPINE ASSISTANTS LLC

Provider Business Mailing Address
First Line	:	PO BOX 604
Second Line	:
City	:	BUDA
State	:	TX
Zip	:	78610-0604
Country	:	US
Telephone Number	:	512-214-7026
Fax Number	:	512-714-5035

Provider Business Practice Location Address
First Line	:	9010 BRODIE LN STE 100
Second Line	:
City	:	AUSTIN
State	:	TX
Zip	:	78748-5186
Country	:	US
Telephone Number	:	512-214-7026
Fax Number	:	512-714-5035

Authorized Official
Title or Position	:	OWNER
Name	:	DENNIS Y MARRERO
Credential	:	O.P.A.-C
Telephone Number	:	512-214-1026

Provider Enumeration Date	:	10/22/2025
Last Update Date	:	10/22/2025

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Directions to “TEXAS ORTHO-SPINE ASSISTANTS LLC ” Practice Location

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