institution
Orthopedic Surgery Pavilion, Lp
Ambulatory Surgical Clinic/Center in Fort Worth, Texas
NPI 1023017068

Orthopedic Surgery Pavilion, Lp is an Ambulatory Surgical Clinic/Center based in Fort Worth, TX and is specialized in Ambulatory Surgical. Orthopedic Surgery Pavilion, Lp practices in Fort Worth, TX. The NPI Number for Orthopedic Surgery Pavilion, Lp is 1023017068 and holds a License No. 007075 (Texas).

The current practice location address for Orthopedic Surgery Pavilion, Lp is 2001 Cooper St, Fort Worth, TX and can be reached out via phone at 817-877-1291 and via fax at 817-877-1292.

Location: 2001 Cooper St, Fort Worth, TX, 76161-0094
institution
Provider Profile Details
NPI Number
1023017068
Provider Name
Orthopedic Surgery Pavilion, Lp
Credential
Provider Entity Type
Organization
Address
2001 Cooper St, Fort Worth, TX, 76161-0094
Phone Number
817-877-1291
Fax Number
817-877-1292
Provider Enumeration Date
07/20/2005
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
RRMCHCX12 01 TX RAILROAD MEDICARE
60054 01 TX AETNA
75261 01 TX PHCS
HH1507 01 TX BLUE CROSS BUE SHIELD
institution
Provider Business Practice Location Address Details
Address
2001 Cooper St
City
State
Zip
76104-2529
Phone Number
817-877-1291
Fax Number
817-877-1292
person
Provider Business Mailing Address Details
Address
2001 Cooper St
City
State
Zip
76104-2529
Phone Number
817-877-1291
Fax Number
817-877-1292
person
Provider's Taxonomy Details 1
Type
Ambulatory Health Care Facilities
Classification
Clinic/Center
Speciality
Ambulatory Surgical
Taxonomy
License No.
007075 (Texas)
Definition
Definition to come...
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