Organization
ASSOCIATED ORTHOPEDICS & SPORTS MEDICINE, PA
Active
Organization subpart
No
Provider details
NPI number
Authorized official
LIA PENNINGTON (EXECUTIVE DIRECTOR)
(469) 326-8611
Entity
Organization
Contact information
Practice address
4031 W PLANO PKWY STE 100, PLANO, TX 75093-5617
(972) 985-1072
(972) 964-3469
Mailing address
4031 W PLANO PKWY, SUITE 100, PLANO, TX 75093-5619
(972) 985-1072
(972) 964-3469
Taxonomy
Speciality
Code
Description
License number
State
207X00000X
Orthopaedic Surgery Physician
Primary
—
—
208100000X
Physical Medicine & Rehabilitation Physician
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
079623701
—
TX
Enumeration date
03/26/2007
Last updated
11/30/2010
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