Organization
ORTHOTEXAS PHYSICIANS AND SURGEONS, PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
LEONARD RATLEY (EXEC VP)
(972) 395-2220
Entity
Organization
Contact information
Practice address
1125 RAINTREE CIR # 100, ALLEN, TX 75013
(972) 727-9995
Mailing address
4780 N JOSEY LN, CARROLLTON, TX 75010-4615
(972) 492-1334
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
—
—
207X00000X
Orthopaedic Surgery Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0052WC
BC/BS TEXAS
TX
01
—
DR2337
RAILROAD MEDICARE
TX
01
—
TXB117492
MEDICARE PART B GROUP PTAN
TX
Enumeration date
11/15/2010
Last updated
08/22/2018
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