Organization
ACUTE ORTHOPEDIC CARE SPECIALISTS PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
KATHY KONDAS (OFFICER)
(973) 251-1132
Entity
Organization
Contact information
Practice address
540 W 5TH ST, SUITE 350, ODESSA, TX 79761-5034
(954) 838-2371
Mailing address
PO BOX 650823, DALLAS, TX 75265-0823
(973) 251-1132
Taxonomy
Speciality
Code
Description
License number
State
207X00000X
Orthopaedic Surgery Physician
Primary
—
—
208600000X
Surgery Physician
—
—
2086S0127X
Trauma Surgery Physician
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0012RT
BCBS
TX
05
—
211555201
—
TX
Enumeration date
08/14/2008
Last updated
12/05/2019
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