Organization
RELIANCE ORTHOPEDIC AND SPORTS MEDICINE PLLC
Active
Organization
RELIANCE ORTHOPEDIC AND SPORTS MEDICINE PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
KATHLEEN KONDAS (OFFICER)
(317) 614-9871
Entity
Organization
Contact information
Practice address
3101 N TARRANT PKWY, FORT WORTH, TX 76177-8601
(469) 401-2386
Mailing address
5565 CENTERVIEW DR, RALEIGH, NC 27606-5447
Taxonomy
Speciality
Code
Description
License number
State
207X00000X
Orthopaedic Surgery Physician
Primary
—
—
Other
Enumeration date
07/06/2015
Last updated
04/20/2021
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