Organization
ORTHOPEDIC CLINIC OF GALVESTON COUNTY ASSOCIATES
Active
Organization subpart
No
Provider details
NPI number
Authorized official
SUMMER R FRYE (ADMINISTRATOR)
(409) 938-8161
Entity
Organization
Contact information
Practice address
6501 MEMORIAL DR, TEXAS CITY, TX 77591-4015
(409) 938-8161
(409) 938-0837
Mailing address
6501 MEMORIAL DR, TEXAS CITY, TX 77591-4015
(409) 938-8161
(409) 938-0837
Taxonomy
Speciality
Code
Description
License number
State
207X00000X
Orthopaedic Surgery Physician
Primary
—
—
332B00000X
Durable Medical Equipment & Medical Supplies
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
081617501
—
TX
05
—
081617502
—
TX
01
—
125226900
DEPT OF LABOR
TX
01
—
200000325
RR MEDICARE
TX
01
—
200026746
RR MEDICARE
TX
01
—
540189
UHC
TX
Enumeration date
08/02/2005
Last updated
09/11/2023
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