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CENTRAL TEXAS ORTHOPEDIC SURGERYP.A. NPI 1619078920


NPI Information

NPI: 1619078920
Provider Name: CENTRAL TEXAS ORTHOPEDIC SURGERY,P.A.
Classification: Orthopaedic Surgery - 207X00000X
Entity Type: Organization
Address:
2510 CROCKETT DR
SUITE A
BROWNWOOD, TX
ZIP 76801
Phone: (325) 643-5513
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CENTRAL TEXAS ORTHOPEDIC SURGERY,P.A. is an orthopaedic surgery in Brownwood, TX. The provider is an orthopaedic surgeon is trained in the preservation, investigation and restoration of the form and function of the extremities, spine and associated structures by medical, surgical and physical means. An orthopaedic surgeon is involved with the care of patients whose musculoskeletal problems include congenital deformities, trauma, infections, tumors, metabolic disturbances of the musculoskeletal system, deformities, injuries and degenerative diseases of the spine, hands, feet, knee, hip, shoulder and elbow in children and adults. An orthopaedic surgeon is also concerned with primary and secondary muscular problems and the effects of central or peripheral nervous system lesions of the musculoskeletal system. CENTRAL TEXAS ORTHOPEDIC SURGERY,P.A. NPI is 1619078920. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

2510 CROCKETT DR
SUITE A
BROWNWOOD, TX
ZIP 76801-928
Phone: (325) 643-5513

The provider's authorized official is Crescent L Clark .
The authorized official title is Manager and has the following contact phone number (325) 643-5513.

The enumeration date for this NPI number is 9/26/2006 and was last updated on 7/22/2008.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1207X00000XOrthopaedic SurgeryJ6662TEXASYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No. Other Provider Identifier Other Provider Identifier Type Other Provider Identifier State Other Provider Identifier Issuer
1181622100OTHERTEXASDEPT OF LABOR
28X1180OTHERTEXASBLUE CROSS BLUE SHIELD TX
300867LMEDICARE ID-TYPE UNSPECIFIEDTEXAS
43975330001MEDICARE NSCTEXAS
5200040090MEDICARE PINTEXAS
6119756OTHERTEXASSUPERIOR HEALTH PLAN
7127632105MEDICAIDTEXAS
80040AVOTHERTEXASBLUE CROSS BLUE SHIELD TX
9F99136MEDICARE UPINTEXAS

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 5/5/2024

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