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Organization

ORTHOTEXAS PHYSICIANS AND SURGEONS, PLLC

Active
Other names
OrthoTexas
Organization subpart
No

Provider details

NPI number
Authorized official
MITCHELL FRANKLIN FAGELMAN (PHYSICIAN)
(972) 492-1334
Entity
Organization

Contact information

Practice address
4031 W PLANO PKWY STE 100, PLANO, TX 75093
(972) 985-1072
Mailing address
4780 N JOSEY LN, CARROLLTON, TX 75010-4615
(972) 395-2289
(972) 395-2289

Taxonomy

Speciality
Code
Description
License number
State
174400000X
Specialist
207X00000X
Orthopaedic Surgery Physician
Primary

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
0052WC
BCBS TEXAS GROUP
TX
01
DR2337
RAILROAD MEDICARE
TX
01
TXB117492
MEDICARE PART B GROUP PTAN
TX
Enumeration date
10/20/2010
Last updated
10/06/2025
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