Organization
CY-FAIR BONE AND JOINT, LLP
Active
Organization
CY-FAIR BONE AND JOINT, LLP
Active
Other names
Advanced Orthopaedics and Sports Medicine
Organization subpart
No
Provider details
NPI number
Authorized official
DR. DAVID ROSS MACK MD (MANAGING PARTNER)
(281) 955-7577
Entity
Organization
Contact information
Practice address
21216 NORTHWEST FWY, SUITE 620, CYPRESS, TX 77429-4695
(281) 955-7577
(281) 955-5875
Mailing address
11800 FM 1960 WEST, HOUSTON, TX 77065
(281) 955-7577
(281) 955-5875
Taxonomy
Speciality
Code
Description
License number
State
207X00000X
Orthopaedic Surgery Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
00897R
MEDICARE PTAN
TX
Enumeration date
02/12/2009
Last updated
11/23/2011
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