Organization
STRUCTURE ORTHOPAEDICS, PLLC
Active
Other names
Orthopaedic Trauma Specialists, PLLC
Organization subpart
No
Provider details
NPI number
Authorized official
MICHAEL BLAKE SANDERS M.D. (MEDICAL DIRECTOR)
(214) 245-4424
Entity
Organization
Contact information
Practice address
7715 SAN JACINTO PL, SUITE 100, PLANO, TX 75024-3215
(214) 245-4424
(972) 618-4000
Mailing address
7715 SAN JACINTO PL, SUITE 100, PLANO, TX 75024-3215
(214) 245-4424
(972) 618-4000
Taxonomy
Speciality
Code
Description
License number
State
207XX0801X
Orthopaedic Trauma Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0041WM
BCBS
TX
05
—
281455001
—
TX
01
—
TXB128947
MEDICARE PTAN
TX
Enumeration date
03/02/2011
Last updated
03/28/2017
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