Organization
FONDREN ORTHOPEDIC GROUP L.L.P.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
KAREN YATES (COO)
(713) 799-2300
Entity
Organization
Contact information
Practice address
7401 SOUTH MAIN ST, HOUSTON, TX 77030-4509
(713) 799-2300
(713) 794-3380
Mailing address
7401 MAIN ST, HOUSTON, TX 77030-4509
(713) 799-2300
(713) 794-3395
Taxonomy
Speciality
Code
Description
License number
State
207X00000X
Orthopaedic Surgery Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
00H7N
BLUE CROSS & BLUE SHIELD
TX
05
—
121422301
—
TX
01
—
530699
BLUE CROSS & BLUE SHIELD ORTHOTICS
TX
Enumeration date
04/17/2006
Last updated
08/31/2020
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