Organization
TMI SPORTS MEDICINE AND ORTHOPEDIC SURGERY PA
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MELISSA WEELDREYER (CREDENTIALING/COMPLIANCE)
(817) 419-0303
Entity
Organization
Contact information
Practice address
11000 FRISCO ST STE 200, FRISCO, TX 75033-2033
(817) 419-0303
(833) 626-1951
Mailing address
3533 MATLOCK RD, ARLINGTON, TX 76015-3604
(817) 419-0303
(833) 626-1951
Taxonomy
Speciality
Code
Description
License number
State
207X00000X
Orthopaedic Surgery Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
193200000X
TAXONOMY
TX
01
—
2S9727
MEDICARE PTAN
TX
Enumeration date
05/31/2023
Last updated
05/31/2023
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