Organization
TOTAL TRAUMA CARE, PLLC
Active
Other names
Advent Orthopaedics
Organization subpart
No
Provider details
NPI number
Authorized official
MR. CLINTON BLACK (CEO/LEGAL COUNSEL)
(888) 624-6882
Entity
Organization
Contact information
Practice address
9200 PINECROFT DR STE 280, SHENANDOAH, TX 77380-3281
(888) 624-6882
(888) 882-4498
Mailing address
3500 HILLCREST DR, STE 1, WACO, TX 76708-3144
(888) 624-6882
(888) 882-4498
Taxonomy
Speciality
Code
Description
License number
State
207XS0117X
Orthopaedic Surgery of the Spine Physician
—
—
207XX0801X
Orthopaedic Trauma Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
338817501
—
TX
Enumeration date
10/11/2016
Last updated
03/17/2018
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