Organization
ORTHOPAEDIC ASSOCIATES, LLP
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DUSTIN HOSTAS (OFFICE MANAGER)
(940) 689-9664
Entity
Organization
Contact information
Practice address
1 W MEDICAL CT, WICHITA FALLS, TX 76310-1767
(940) 689-9664
(940) 689-9662
Mailing address
1 W MEDICAL CT, WICHITA FALLS, TX 76310-1767
(940) 689-9664
(940) 689-9662
Taxonomy
Speciality
Code
Description
License number
State
207X00000X
Orthopaedic Surgery Physician
Primary
—
—
261QR0200X
Radiology Clinic/Center
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0046GS
BCBS GROUP NUMBER
TX
05
—
143994501
—
TX
01
—
970019474
RAILROAD MEDICARE
TX
Enumeration date
02/14/2007
Last updated
10/20/2011
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