West Side Orthopaedic Clinic

LBN: West Side Orthopaedic Clinic
West Side Orthopaedic Clinic is an health care organization with primary practice located at 1002 Montgomery St Suite 107, Fort Worth TX 76107-2662. The organization recently has only one registered license in Allopathic & Osteopathic Physicians / Orthopaedic Surgery, which is considered as the primary health care specialty. West Side Orthopaedic Clinic can be contacted via phone (817) 738-6668, or through Glickfeld, Myron via phone (817) 738-6668.

Contact Information

Primary practice address
1002 Montgomery St Suite 107 Fort Worth TX 76107-2662
Fax:
Website:
Authorized official contact:
Name: Glickfeld, Myron Doctor of Osteopathy (DO)

Health care specialties

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

Profile Details

NPI number 1720031958
LBN Legal business name West Side Orthopaedic Clinic
DBA Doing business as
Authorized official Glickfeld, Myron Doctor of Osteopathy (DO)
Entity Organization
Organization subpart 1 No
Enumeration date May 18th, 2006
Last updated Oct 24th, 2007 - about 17 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 1720031958 NPPES
Other CJ8419 GROUP MEDICARE RR
Other 0013HZ GROUP MEDICARE RR

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