Organization
CENTER FOR ORTHOPAEDIC SPECIALTIES PA
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DAWN D SUEHS (PRACTICE ADMINISTRATOR)
(979) 774-0411
Entity
Organization
Contact information
Practice address
3201 UNIVERSITY DR E, SUITE 255, BRYAN, TX 77802-3475
(979) 774-0411
(979) 776-0508
Mailing address
3201 UNIVERSITY DR E, SUITE 255, BRYAN, TX 77802-3475
(979) 774-0411
(979) 776-0508
Taxonomy
Speciality
Code
Description
License number
State
208600000X
Surgery Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0016DX
BCBS
TX
05
—
080593901
—
TX
Enumeration date
03/21/2006
Last updated
04/25/2013
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