Organization
PRECISION ORTHOPEDICS & SPORTS MEDICINE
Active
Organization
PRECISION ORTHOPEDICS & SPORTS MEDICINE
Active
Other names
Irving Orthopedics & Sports Medicine
Organization subpart
No
Provider details
NPI number
Authorized official
MELYNN FANNING (OFFICE MANAGER)
(972) 438-4636
Entity
Organization
Contact information
Practice address
2120 N MACARTHUR BLVD, SUITE 100, IRVING, TX 75061-2225
(972) 438-4636
(972) 438-6585
Mailing address
2120 N MACARTHUR BLVD, SUITE 100, IRVING, TX 75061-2225
(972) 438-4636
(972) 438-6585
Taxonomy
Speciality
Code
Description
License number
State
207X00000X
Orthopaedic Surgery Physician
Primary
—
—
207XS0106X
Orthopaedic Hand Surgery Physician
—
—
207XS0117X
Orthopaedic Surgery of the Spine Physician
—
—
207XX0005X
Sports Medicine (Orthopaedic Surgery) Physician
—
—
2081P2900X
Pain Medicine (Physical Medicine & Rehabilitation) Physician
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
085760901
—
TX
Enumeration date
10/11/2006
Last updated
03/07/2024
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