Organization
CHISHOLM TRAIL ORTHOPEDICS & SPORTS MEDICINE, LLLP
Active
Other names
Cleburne Orthopedic & Sports Medicine Center, LLP, Chisholm Trail Orthopedic & Sports Medicine, LLLP
Organization subpart
No
Provider details
NPI number
Authorized official
DR. BLAINE LEE FARLESS IX MD (SENIOR PARTNER)
(817) 556-3212
Entity
Organization
Contact information
Practice address
2010 W KATHERINE P RAINES RD, SUITE 300, CLEBURNE, TX 76033-7435
(817) 556-3212
(817) 556-2388
Mailing address
2010 W KATHERINE P RAINES RD, SUITE 300, CLEBURNE, TX 76033-7435
(817) 556-3212
(817) 556-2388
Taxonomy
Speciality
Code
Description
License number
State
207X00000X
Orthopaedic Surgery Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
083406102
—
TX
Enumeration date
01/11/2007
Last updated
02/21/2023
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