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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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