Texas Arthroscopic Surgery Clinic

LBN: Texas Arthroscopic Surgery Clinic
Texas Arthroscopic Surgery Clinic is an health care organization with primary practice located at 800 8Th Ave Suite 116, Fort Worth TX 76104-2601. The organization recently has only one registered license in Allopathic & Osteopathic Physicians / Orthopaedic Surgery, which is considered as the primary health care specialty. Texas Arthroscopic Surgery Clinic can be contacted via phone (817) 336-5633, or through Otero, Angelo Luis via phone (817) 336-5633.

Contact Information

Primary practice address
800 8Th Ave Suite 116 Fort Worth TX 76104-2601
Fax: (817) 870-9760
Website:
Authorized official contact:
Name: Otero, Angelo Luis Doctor of Medicine (MD)

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Orthopaedic Surgery 207X00000X E5196 Texas

Profile Details

NPI number 1699809335
LBN Legal business name Texas Arthroscopic Surgery Clinic
DBA Doing business as
Authorized official Otero, Angelo Luis Doctor of Medicine (MD)
Entity Organization
Organization subpart 1 No
Enumeration date Mar 15th, 2007
Last updated Jun 23rd, 2008 - about 16 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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Identifiers

StateTypeNumberIssuer
All States NPI 1699809335 NPPES
Other C54519 MEDICARE RR
Other 0063HT MEDICARE RR
MEDICAID 162093201 MEDICARE RR

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