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ORTHOPEDIC SURGERY PAVILION, LP

Surgery Yellow Pages

Fort Worth, Texas

Provider NPI: 1023017068

Organization Information:
Organization Name:  ORTHOPEDIC SURGERY PAVILION, LP


Practice Location:
2001 COOPER ST  FORT WORTH, TX 76104 US
Tel: 817-877-1291  Fax: --

Business Mailing Address:
  ,   
Tel: --  Fax: --


Taxonomy:

PrimaryCodeCategory/DescriptionStateLicense Number
Y261QA1903XAmbulatory Health Care Facilities
Clinic/Center
Ambulatory Surgical
TX007075

Other Provider Identifiers:

IssuerNumberStateType
AETNA60054TX01
BLUE CROSS BUE SHIELDHH1507TX01
RAILROAD MEDICARERRMCHCX12TX01
PHCS75261TX01
Code values:
01, Other | 02, Medicare Upin | 04, Medicare Id-Type Unspecified
05, Medicaid | 06, Medicare Oscar/Certification | 07, Medicare NSC | 08, Medicare Pin



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