Organization
TEXAS ORTHOPAEDIC & SPORTS MEDICINE
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. JESSICA SUBLETT (CREDENTIAL SPECIALIST)
(281) 803-3246
Entity
Organization
Contact information
Practice address
13603 MICHEL RD, TOMBALL, TX 77375-6410
(281) 351-7261
(281) 351-2515
Mailing address
13603 MICHEL RD, TOMBALL, TX 77375-6410
(281) 351-7261
(281) 351-2515
Taxonomy
Speciality
Code
Description
License number
State
207X00000X
Orthopaedic Surgery Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
00U78Z
MEDICARE PTAN
TX
01
—
0995950001
MEDICARE DME TOMBALL
TX
01
—
0995950002
MEDICARE DME THE WOODLANDS
TX
Enumeration date
07/27/2006
Last updated
08/13/2021
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