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Contact Information

CENTRAL TEXAS SPORTS MEDICINE & ORTHOPAEDICS, P.A.
3121 UNIVERSITY DR E STE 100
BRYAN, TX77802-3499
 Phone: 979-776-0169
 Fax: 979-776-1372
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Orthopaedic Surgery

207X00000X 02 Physician/General Surgery
 

Family Medicine

207Q00000X 08 Physician/Family Practice
 

Sports

2251S0007X 65 Physical Therapist in Private Practice
 

Sports Medicine

207PS0010X 93 Physician/Emergency Medicine
Indicates primary specialty

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

NPI Number 1861575466
Status Active
Credentials
Entity Individual
Enumeration date 10/24/2006
Last updated 07/27/2020 - About 6 years ago
Sole proprietor 1 Not specified
Identifiers
  • TX Medicaid 080161502
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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