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Organization

WEST TEXAS ORTHOPEDICS LLP

Active
Other names
West Texas Orthopedics
Organization subpart
No

Provider details

NPI number
Authorized official
ROBERT GARY GRAY PT (CEO)
(432) 520-3020
Entity
Organization

Contact information

Practice address
4304 ANDREWS HWY, MIDLAND, TX 79703-4824
(432) 520-3020
(432) 699-1981
Mailing address
PO BOX 5556, MIDLAND, TX 79704-5556
(432) 520-3020
(432) 699-1981

Taxonomy

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

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
0049PD
BCBS GROUP #
TX
05
191095201
TX
01
DN1249
MEDICARE RAILROAD
TX
Enumeration date
05/20/2006
Last updated
06/21/2011
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