Optimal Health Network Of Texas LLC
Orthopaedic Surgery in Fort Worth, TX. Organization (NPI-2).
NPI number1669970943
StatusActive
Last updated in NPPESJan 12, 2022
Details
- NPI
- 1669970943
- Entity type
- Organization (NPI-2)
- Legal business name
- Optimal Health Network Of Texas LLC
- Organization subpart
- No
- Enumeration date
- Jan 31, 2018
- Certification date
- Jan 12, 2022
- Last updated
- Jan 12, 2022
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 207X00000X | Orthopaedic Surgery | – | TX | Yes |
| 207XS0117X | Orthopaedic Surgery, Orthopaedic Surgery of the Spine | – | TX |
Practice location
1400 8th AveFort Worth, TX 76104-4110
Phone 615-386-0064 · Fax 615-386-0067
Mailing address
102 Woodmont Blvd Ste 350Nashville, TN 37205-2216
Phone 615-386-0064 · Fax 615-386-0067
Other practice locations
510 W Tidwell Rd
Houston, TX 77091-4339
Houston, TX 77091-4339
Phone 615-386-0064 · Fax 615-386-0067
Authorized official
John Hannon
Svp, Marketing And Communications
6153860064
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