Organization
TEXOMA ORTHOPEDIC AND SPINE PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
KELLYE KEITZ (BACK OFFICE MANAGER)
(903) 465-2190
Entity
Organization
Contact information
Practice address
5012 S US HIGHWAY 75, SUITE 120, DENISON, TX 75020-4587
(903) 465-2190
(903) 465-2262
Mailing address
5012 S US HIGHWAY 75, SUITE 120, DENISON, TX 75020-4587
(903) 465-2190
(903) 465-2262
Taxonomy
Speciality
Code
Description
License number
State
207X00000X
Orthopaedic Surgery Physician
Primary
—
—
207XS0117X
Orthopaedic Surgery of the Spine Physician
—
—
225100000X
Physical Therapist
—
—
Other
Enumeration date
02/29/2012
Last updated
08/02/2021
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