Ortholonestar, PLLC
Orthopaedic Surgery in Fort Worth, TX. Organization (NPI-2).
NPI number1366059636
StatusActive
Last updated in NPPESMar 20, 2024
Details
- NPI
- 1366059636
- Entity type
- Organization (NPI-2)
- Legal business name
- Ortholonestar, PLLC
- Organization subpart
- Yes
- Enumeration date
- Sep 30, 2020
- Certification date
- Mar 20, 2024
- Last updated
- Mar 20, 2024
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 207X00000X | Orthopaedic Surgery | – | – | Yes |
Other names
- Texas Orthopaedic Associates (Doing Business As)
Practice location
5900 Altamesa Blvd Ste 100Fort Worth, TX 76132-5475
Phone 817-854-9969
Mailing address
8210 Walnut Hill Ln Ste 130Dallas, TX 75231-4418
Phone 214-750-1207 · Fax 214-750-8504
Authorized official
Jennifer Kinman
Vp Quality & Regulatory Affairs
3464479004
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