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Organization
NORTHEAST ORTHOPAEDICS & SPORTS MEDICINE
Active
Organization
NORTHEAST ORTHOPAEDICS & SPORTS MEDICINE
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. DAVOD FOX MD (OWNER)
(210) 477-5151
Entity
Organization
Contact information
Practice address
12709 TOEPPERWEIN RD, LIVE OAK, TX 78233-3258
(210) 477-5151
(210) 477-5152
Mailing address
12709 TOEPPERWEIN RD, LIVE OAK, TX 78233-3258
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
1280360
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1831203009
NPI
TX
Enumeration date
10/26/2016
Last updated
10/26/2016
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