Virgil B Medlock in Dallas - Adult Reconstructive Orthopaedic Surgery
Virgil B Medlock - NPI 1083604458
Virgil B Medlock is a Adult Reconstructive Orthopaedic Surgery in Dallas, Texas. Virgil B Medlock practices all healthcare services and medical treatments related to Adult Reconstructive Orthopaedic Surgery. The NPI Number for Virgil B Medlock is 1083604458. The last update date is 2012-09-28.
Virgil B Medlock's current location address is 3900 Junius St, Dallas, Texas. You can contact this provider via phone number 2148237090 and fax number 2148231644. The mailing address for Virgil B Medlock is 3900 Junius St, Dallas, Texas. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Virgil B Medlock |
|---|---|
| Address | 3900 Junius St, Dallas, Texas |
| Phone Number | 2148237090 |
| Fax Number | 2148231644 |
| Sole Proprietor | N |
| Credentials | MD |
NPI Number Detail
| NPI Number | 1083604458 |
|---|---|
| Provider Enumeration Date | 2005-10-26 |
| Last Updated Date | 2012-09-28 |
Provider Mailing Address Detail
| Address | 3900 Junius St |
|---|---|
| City | Dallas |
| State | Texas (TX) |
| Post Code | 752461615 |
| Phone Number | 2148237090 |
| Fax Number | 2148231644 |
Provider's Primary Taxonomy Detail
| Speciality | Adult Reconstructive Orthopaedic Surgery |
|---|---|
| Taxonomy | 207Xs0114X |
| Licence No | K3615 |
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Definition: Recognized by several state medical boards as a fellowship subspecialty program of orthopaedic surgery, adult reconstructive orthopaedic surgeons deal with reconstructive procedures such as joint arthroplasty (i.e., hip and knee), osteotomy, arthrosc |
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Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 8A5019 | TX | BCBS | |
| 152255901 | TX | -- | |
| 152255902 | TX | -- | |
| 152255903 | TX | -- |
Post Comment/ Review Below
What is the unique 10-digit identifier code issued to Virgil B Medlock by the Centers for Medicare & Medicaid Services?
The Virgil B Medlock has been assigned the NPI (National Provider Identifier) 1083604458 by the CMS (Centers for Medicare & Medicaid Services). This 10-digit code serves as a unique identification number for healthcare providers.
Could you please provide the complete physical location address of Virgil B Medlock?
The Virgil B Medlock is physically situated at 3900 Junius St, in the city of Dallas, state of TX, with the postal code 752461615.
What is Virgil B Medlock's primary area of medical expertise, and what taxonomy classification code corresponds to this specialized field?
The primary area of medical expertise for Virgil B Medlock is Adult Reconstructive Orthopaedic Surgery, and the corresponding taxonomy classification code for this specialized field is 207Xs0114X.
On what date did the Centers for Medicare & Medicaid Services issue the 1083604458 to Virgil B Medlock?
The Virgil B Medlock received its 1083604458 assignment from the Centers for Medicare & Medicaid Services on 2005-10-26.
As of what date was the information pertaining to Virgil B Medlock, such as address, specialty, and other details, last reviewed and confirmed to be accurate?
The information related to Virgil B Medlock, including its address, specialty, and other relevant details, was last reviewed and confirmed to be accurate on 2012-09-28.