Individual
JOHN DAVID ORR
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DO
Contact information
Practice address
855 MONTGOMERY ST, FORT WORTH, TX 76107-2553
(817) 735-2660
Mailing address
PO BOX 99335, FORT WORTH, TX 76199-0335
Taxonomy
Speciality
Code
Description
License number
State
2084N0400X
Neurology Physician
Primary
K8399
TX
2084V0102X
Vascular Neurology Physician
K8399
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
043664401
—
TX
05
—
043664402
—
TX
01
—
130020255
RAILROAD MEDICARE
TX
01
—
83105G
BCBS
TX
Enumeration date
04/17/2006
Last updated
07/14/2017
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