Organization
ASSOCIATED ORTHOPAEDICS & SPORTS MEDICINE
Active
Organization subpart
No
Provider details
NPI number
Authorized official
LIA PENNINGTON (EXECUTIVE DIRECTOR)
(469) 326-8611
Entity
Organization
Contact information
Practice address
5757 WARREN PKWY, SUITE 180, FRISCO, TX 75034-4274
(214) 618-5502
(214) 618-5503
Mailing address
5757 WARREN PKWY, SUITE 180, FRISCO, TX 75034-4274
(214) 618-5502
(214) 618-5503
Taxonomy
Speciality
Code
Description
License number
State
207XS0106X
Orthopaedic Hand Surgery Physician
—
—
207XX0005X
Sports Medicine (Orthopaedic Surgery) Physician
Primary
—
—
225100000X
Physical Therapist
—
—
225X00000X
Occupational Therapist
—
—
Other
Enumeration date
04/01/2009
Last updated
05/10/2010
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