Organization
FULCRUM ORTHOPAEDICS, PLLC
Active
Other names
Orthopaedic Elective Specialists, PLLC
Organization subpart
No
Provider details
NPI number
Authorized official
DR. MICHAEL BLAKE SANDERS M.D. (CEO)
(214) 245-4424
Entity
Organization
Contact information
Practice address
7715 SAN JACINTO PL, SUITE 200, PLANO, TX 75024-3215
(469) 209-8099
(972) 618-4444
Mailing address
7715 SAN JACINTO PL, SUITE 200, PLANO, TX 75024-3215
(469) 209-8099
(972) 618-4444
Taxonomy
Speciality
Code
Description
License number
State
207X00000X
Orthopaedic Surgery Physician
Primary
—
—
207XX0005X
Sports Medicine (Orthopaedic Surgery) Physician
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
122539
BLUE CROSS BLUE SHIELD
TX
05
—
324751201
—
TX
Enumeration date
04/02/2012
Last updated
03/28/2017
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