is a Sports Medicine in Palestine, Texas. practices all healthcare services and medical treatments related to Sports Medicine. The NPI Number for is 1740447747. The last update date is .
's current location address is 4002 Loop 256, Palestine, Texas. You can contact this provider via phone number 9037232427 and fax number 9037232407. The mailing address for is 4002 Loop 256, Palestine, Texas. To know further, please read the information below!
Provider Profile Detail
| Provider Name | |
|---|---|
| Address | 4002 Loop 256, Palestine, Texas |
| Phone Number | 9037232427 |
| Fax Number | 9037232407 |
| Sole Proprietor | -- |
| Credentials | -- |
NPI Number Detail
| NPI Number | 1740447747 |
|---|---|
| Provider Enumeration Date | |
| Last Updated Date |
Provider Mailing Address Detail
| Address | 4002 Loop 256 |
|---|---|
| City | Palestine |
| State | Texas (TX) |
| Post Code | 75801 |
| Phone Number | 9037232427 |
| Fax Number | 9037232407 |
Provider's Primary Taxonomy Detail
| Speciality | Sports Medicine |
|---|---|
| Taxonomy | 207Xx0005X |
| Licence No | ME102695 |
|
Definition: An orthopaedic surgeon trained in sports medicine provides appropriate care for all structures of the musculoskeletal system directly affected by participation in sporting activity. This specialist is proficient in areas including conditioning, train |
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Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 8L18468 | TX | MEDICARE PROVIDER NUMBER |
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