Organization
TEXAS INSTITUTE OF ORTHOPEDIC SURGERY & SPORTS MEDICINE PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
SHANNON JORDAN (OFFICE MANAGER)
(817) 421-0505
Entity
Organization
Contact information
Practice address
815 IRA E WOODS AVE, STE 100, GRAPEVINE, TX 76051-4012
(817) 421-0505
(817) 421-6060
Mailing address
815 IRA E WOODS AVE, STE 100, GRAPEVINE, TX 76051-4012
(817) 421-0505
(817) 421-6060
Taxonomy
Speciality
Code
Description
License number
State
207X00000X
Orthopaedic Surgery Physician
Primary
—
—
Other
Enumeration date
02/15/2007
Last updated
04/17/2014
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