Abilene Bone & Joint Clinic
Orthopaedic Surgery in Abilene, TX. Organization (NPI-2).
NPI number1699701870
StatusActive
Last updated in NPPESJun 1, 2010
Details
- NPI
- 1699701870
- Entity type
- Organization (NPI-2)
- Legal business name
- Abilene Bone & Joint Clinic
- Organization subpart
- No
- Enumeration date
- Jun 23, 2006
- Last updated
- Jun 1, 2010
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 207X00000X | Orthopaedic Surgery | – | – | Yes |
| 332B00000X | Durable Medical Equipment & Medical Supplies | 6357380001 | TX | |
| 335E00000X | Prosthetic/Orthotic Supplier | 6357380001 | TX |
Practice location
1749 Pine StAbilene, TX 79601-3043
Phone 325-672-4372 · Fax 325-673-0856
Mailing address
1749 Pine StAbilene, TX 79601-3043
Phone 325-672-4372 · Fax 325-673-0856
Authorized official
Shannon Eugene Cooke
President
3256724372
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