# TEXAS ORTHOPEDIC AND SPINE ASSOCIATES PLLC

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1366177321
- **Authorized official:** TATIANA VIKTOROVNA BOYKO (OWNER)
- **Authorized official phone:** (408) 966-0097

## Contact information

- **Practice address:** 923 COLLEGE AVE STE 101, FORT WORTH, TX 76104-3051
- **Practice address phone:** (817) 697-4038
- **Practice address fax:** (877) 409-3962
- **Mailing address:** 923 COLLEGE AVE STE 101, FORT WORTH, TX 76104-3051
- **Mailing address phone:** (817) 697-4038
- **Mailing address fax:** (877) 409-3962

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 332B00000X | Durable Medical Equipment & Medical Supplies | — | NULL | Yes |

## Other

- **Enumeration date:** 07/22/2022
- **Last updated:** 04/04/2024