Organization
LAS COLINAS ORTHOPEDIC SURGERY AND SPORTS MEDICINE P.A.
Active
Other names
All-Star Orthopaedics, ALL STAR ORTHOPEDIC & SPORTS MEDICINE
Organization subpart
No
Provider details
NPI number
Authorized official
DHARA THAKKAR (MANAGER)
(972) 637-8960
Entity
Organization
Contact information
Practice address
400 W LBJ FWY, SUITE 330, IRVING, TX 75063-3707
(972) 556-2885
(972) 506-8733
Mailing address
400 W LBJ FWY, SUITE 330, IRVING, TX 75063-3707
(972) 556-2885
(972) 506-8733
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
—
—
332B00000X
Durable Medical Equipment & Medical Supplies
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
080919601
—
TX
Enumeration date
09/15/2005
Last updated
07/31/2024
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