Organization
TEXAS ORTHOPEDICS SPORTS & REHABILITATION ASSOCIATES PA
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JENNIFER KINMAN (CFO)
(512) 439-1011
Entity
Organization
Contact information
Practice address
101 MEDICAL PKWY STE 120, LAKEWAY, TX 78738-5647
(512) 439-1000
(512) 439-1081
Mailing address
4700 SETON CENTER PKWY STE 200, AUSTIN, TX 78759-4107
(512) 439-1000
(512) 439-1081
Taxonomy
Speciality
Code
Description
License number
State
207X00000X
Orthopaedic Surgery Physician
Primary
M8174
TX
Other
Enumeration date
12/14/2017
Last updated
05/21/2020
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