Organization
CY-FAIR BONE & JOINT LLP
Active
Other names
Advanced Orthopaedics and Sports Medicine
Organization subpart
No
Provider details
NPI number
Authorized official
DR. DAVID MACK MD (MD/MANAGING PARTNER)
(281) 664-2107
Entity
Organization
Contact information
Practice address
11800 FM 1960 RD W, HOUSTON, TX 77065-3840
(281) 664-2107
(281) 955-5875
Mailing address
11800 FM 1960 RD W, HOUSTON, TX 77065-3840
(281) 664-2107
(281) 955-5875
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
12013
TX
207PS0010X
Sports Medicine (Emergency Medicine) Physician
Q6465
TX
207X00000X
Orthopaedic Surgery Physician
N2496
TX
207X00000X
Orthopaedic Surgery Physician
P6096
TX
207XS0106X
Orthopaedic Hand Surgery Physician
Q1860
TX
207XX0004X
Orthopaedic Foot and Ankle Surgery Physician
M0651
TX
207XX0005X
Sports Medicine (Orthopaedic Surgery) Physician
Primary
J0085
TX
207XX0005X
Sports Medicine (Orthopaedic Surgery) Physician
K6574
TX
2080S0010X
Pediatric Sports Medicine Physician
N6827
TX
2081P2900X
Pain Medicine (Physical Medicine & Rehabilitation) Physician
N8571
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0046HD
BCBS GROUP NUMBER
TX
Enumeration date
05/17/2006
Last updated
03/09/2017
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