Organization
ORTHOPEDIC SPECIALTY ASSOCIATES PA
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. TRACY HERRERA (OFFICE MANAGER)
(817) 878-5444
Entity
Organization
Contact information
Practice address
800 5TH AVE, SUITE 500, FORT WORTH, TX 76104
(817) 878-5300
(817) 878-5300
Mailing address
800 5TH AVE, SUITE 500, FORT WORTH, TX 76104
(817) 878-5300
(817) 878-5300
Taxonomy
Speciality
Code
Description
License number
State
207X00000X
Orthopaedic Surgery Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
083501901
—
TX
Enumeration date
07/07/2006
Last updated
09/18/2008
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