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Contact Information

SOUTHERN ORTHOPAEDICS & SPORTS MEDICINE PA
5009 S MCCOLL ROAD
EDINBURG, TX78539
 Phone: 956-213-8881
 Fax: 956-213-8886
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Orthopaedic Surgery

207X00000X 02 Physician/General Surgery
 

Adult Reconstructive Orthopaedic Surgery

207XS0114X 02 Physician/General Surgery
 

Foot and Ankle Surgery

207XX0004X 02 Physician/General Surgery
 

Hand Surgery

207XS0106X 02 Physician/General Surgery
 

Orthopaedic Surgery of the Spine

207XS0117X 02 Physician/General Surgery
 

Orthopaedic Trauma

207XX0801X 02 Physician/General Surgery
 

Pediatric Orthopaedic Surgery

207XP3100X 02 Physician/General Surgery
 

Sports Medicine

207XX0005X 02 Physician/General Surgery
Indicates primary specialty

NPI Profile & details for SOUTHERN ORTHOPAEDICS SPORTS MEDICINE PA · (Female)

NPI Number 1770610636
Status Active
Credentials
Entity Individual
Enumeration date 02/27/2007
Last updated 07/10/2008 - About 18 years ago
Sole proprietor 1 Not specified
Identifiers
  • TX License # F8611
  • TX Medicaid 080013801
Hospital affiliation(s) Not Available
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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