Ortholonestar, PLLC
Orthopaedic Surgery in Tyler, TX. Organization (NPI-2).
NPI number1982201190
StatusActive
Last updated in NPPESOct 1, 2020
Details
- NPI
- 1982201190
- Entity type
- Organization (NPI-2)
- Legal business name
- Ortholonestar, PLLC
- Organization subpart
- Yes
- Enumeration date
- Oct 1, 2020
- Certification date
- Sep 28, 2020
- Last updated
- Oct 1, 2020
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 207X00000X | Orthopaedic Surgery | – | – | Yes |
Other names
- Azalea Orthopedics & Sports Medicine Clinic (Doing Business As)
Practice location
1905 S Donnybrook AveTyler, TX 75701-4216
Phone 903-939-7500 · Fax 903-939-7728
Mailing address
3414 Golden RdTyler, TX 75701-8336
Phone 903-939-7500 · Fax 903-939-7728
Authorized official
Jennifer Kinman
Ceo
5124391000
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Other Orthopaedic Surgery Physician providers in Tyler, TX
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- David Carney, M.D.NPI 1679579734
- Seth Andrew Christensen, D.O.NPI 1831537414
- Joseph Michael Conflitti, MDNPI 1720022650
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- William R Hobbs, MDNPI 1063486462
All 28 Orthopaedic Surgery Physician providers in Tyler · All 6,843 providers in Tyler
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