Organization
RIO ORTHOPEDICS AND SPORTS MEDICINE, PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
NICHOLAS DOMINIC IAGULLI MD (OWNER)
(817) 969-6030
Entity
Organization
Contact information
Practice address
8210 MID CITIES BLVD, SUITE 120, N RICHLND HLS, TX 76180-4701
(817) 969-6030
(817) 969-6039
Mailing address
8210 MID CITIES BLVD, SUITE 120, N RICHLND HLS, TX 76180-4701
(817) 969-6030
(817) 969-6039
Taxonomy
Speciality
Code
Description
License number
State
207X00000X
Orthopaedic Surgery Physician
Primary
—
—
Other
Enumeration date
04/09/2020
Last updated
10/12/2020
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