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Organization

FONDREN ORTHOPEDIC GROUP L.L.P.

Active
Organization subpart
No

Provider details

NPI number
Authorized official
KAREN YATES (COO)
(713) 794-3339
Entity
Organization

Contact information

Practice address
2525 W BELLFORT AVE STE 150, HOUSTON, TX 77054-5099
(713) 349-9335
(713) 349-8433
Mailing address
7401 MAIN ST, HOUSTON, TX 77030-4509
(713) 799-2300
(713) 794-3395

Taxonomy

Speciality
Code
Description
License number
State
332BC3200X
Customized Equipment (DME)
179
TX
335E00000X
Prosthetic/Orthotic Supplier
Primary
179
TX

Other

Enumeration date
09/24/2008
Last updated
08/31/2020
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