Organization
TEXAS ORTHOPEDICS SPORTS & REHABILITATION ASSOCIATES PA
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JENNIFER KINMAN (CFO)
(512) 439-1011
Entity
Organization
Contact information
Practice address
4700 SETON CENTER PKWY, STE 200, AUSTIN, TX 78759-4107
(512) 439-1000
(512) 439-1081
Mailing address
4700 SETON CENTER PKWY, STE 200, AUSTIN, TX 78759-4107
(512) 439-1000
(512) 439-1081
Taxonomy
Speciality
Code
Description
License number
State
207X00000X
Orthopaedic Surgery Physician
Primary
00810548-03
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
093712001
—
TX
01
—
CG6742
RAILROAD MEDICARE
TX
01
—
CP2307
RAILROAD MEDICARE
TX
Enumeration date
06/01/2005
Last updated
09/26/2019
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