Organization
ORTHOPEDIC INSTITUTE OF DALLAS, PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. BRADLEY CUBITT M.D. (MEMBER)
(817) 658-5106
Entity
Organization
Contact information
Practice address
701 TUSCAN DR STE 235, IRVING, TX 75039-3839
(817) 658-5106
Mailing address
701 TUSCAN DR STE 235, IRVING, TX 75039-3839
(817) 658-5106
Taxonomy
Speciality
Code
Description
License number
State
208100000X
Physical Medicine & Rehabilitation Physician
—
—
2081P2900X
Pain Medicine (Physical Medicine & Rehabilitation) Physician
—
—
2081S0010X
Sports Medicine (Physical Medicine & Rehabilitation) Physician
—
—
208VP0014X
Interventional Pain Medicine Physician
Primary
—
—
Other
Enumeration date
03/05/2019
Last updated
03/05/2019
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