# LAS COLINAS ORTHOPEDIC SURGERY AND SPORTS MEDICINE P.A.

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- **Entity:** Organization
- **Status:** Active
- **Parent organization:** LAS COLINAS ORTHOPEDIC SURGERY AND SPORTS MEDICINE P.A.
- **Other names:** All Star Orthopaedics & Sports Medicine
- **Organization subpart:** Yes

## Provider details

- **NPI number:** 1730884792
- **Legal business name:** LAS COLINAS ORTHOPEDIC SURGERY AND SPORTS MEDICINE P.A.
- **Authorized official:** DHARA THAKKAR (OFFICE MANAGER)
- **Authorized official phone:** (972) 637-8960

## Contact information

- **Practice address:** 4951 LONG PRAIRIE RD STE 100, FLOWER MOUND, TX 75028-2709
- **Practice address phone:** (972) 556-2885
- **Mailing address:** 400 W LBJ FWY STE 330, IRVING, TX 75063-3717
- **Mailing address phone:** (972) 556-2885
- **Mailing address fax:** (972) 506-8733

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 174400000X | Specialist | — | NULL | — |
| 174400000X | Specialist | — | — | — |
| 332B00000X | Durable Medical Equipment & Medical Supplies | — | NULL | Yes |

## Other

- **Enumeration date:** 03/31/2023
- **Last updated:** 03/31/2023