MEDICARE: ORTHOPAEDIC SPECIALISTS OF DALLAS, PA

Medicare Provider Information

Scope of Practice

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

#	Taxonomy Code	Taxonomy
1	225X00000X	Occupational Therapist
2	213E00000X	Podiatrist
3	225100000X	Physical Therapist
4	363A00000X	Physician Assistant
5	111N00000X	Chiropractor
6	207X00000X	Orthopaedic Surgery Physician

General Provider Information

NPI Number	:	1851178396
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	ORTHOPAEDIC SPECIALISTS OF DALLAS, PA

Provider Business Mailing Address
First Line	:	1301 SUMMER LEE DR
Second Line	:
City	:	ROCKWALL
State	:	TX
Zip	:	75032-5452
Country	:	US
Telephone Number	:
Fax Number	:

Provider Business Practice Location Address
First Line	:	115 FM 2453 STE D
Second Line	:
City	:	ROYSE CITY
State	:	TX
Zip	:	75189-7037
Country	:	US
Telephone Number	:	972-771-8111
Fax Number	:

Authorized Official
Title or Position	:	CEO
Name	:	LAUREN PODINA
Credential	:
Telephone Number	:	214-771-4400

Provider Enumeration Date	:	09/08/2023
Last Update Date	:	11/05/2025

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