Organization
ORTHOVAN
Active
Organization subpart
No
Provider details
NPI number
Authorized official
TERRY MADSEN M.D. (PRESIDENT)
(972) 661-0606
Entity
Organization
Contact information
Practice address
3009 E RENNER RD, RICHARDSON, TX 75082-3571
(972) 661-0606
(970) 661-0808
Mailing address
PO BOX 941311, PLANO, TX 75094-1311
(972) 661-0606
(972) 661-0808
Taxonomy
Speciality
Code
Description
License number
State
207X00000X
Orthopaedic Surgery Physician
Primary
L8816
TX
Other
Enumeration date
03/22/2014
Last updated
03/22/2014
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