MEDICARE: ORTHOPEDIC INSTITUTE OF NORTH TEXAS 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
2	207X00000X	Orthopaedic Surgery Physician

General Provider Information

NPI Number	:	1700368016
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	ORTHOPEDIC INSTITUTE OF NORTH TEXAS PA

Provider Business Mailing Address
First Line	:	PO BOX 207674
Second Line	:
City	:	DALLAS
State	:	TX
Zip	:	75320-7674
Country	:	US
Telephone Number	:	972-616-4000
Fax Number	:	972-294-3343

Provider Business Practice Location Address
First Line	:	5575 WARREN PKWY STE 115
Second Line	:
City	:	FRISCO
State	:	TX
Zip	:	75034-4063
Country	:	US
Telephone Number	:	972-591-6468
Fax Number	:	972-591-6469

Authorized Official
Title or Position	:	ACCOUNT MANAGER
Name	:	SHELDON SCOTT SPENCE
Credential	:
Telephone Number	:	580-754-3169

Provider Enumeration Date	:	09/04/2018
Last Update Date	:	02/20/2026

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