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Contact Information

VARSITY ORTHOPEDICS, P.A.
9545 N BEACH ST STE 133
FORT WORTH, TX76244-6471
 Phone: 817-431-1017
 Fax: 817-431-1032
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Pediatric Orthopaedic Surgery

207XP3100X 02 Physician/General Surgery
 

Sports Medicine

207XX0005X 02 Physician/General Surgery
 

Sports Medicine

2080S0010X 37 Physician/Pediatric Medicine
Indicates primary specialty

NPI Profile & details for VARSITY ORTHOPEDICS, P.A.

NPI Number 1932317583
LBN Legal business name VARSITY ORTHOPEDICS, P.A.
Authorized official CHRISTINE OTT - (DOCTOR OF OSTEOPATHY)
Entity Organization
Organization subpart 1 No
Enumeration date 05/18/2007
Last updated 03/12/2020 - About 6 years ago
Identifiers
TX License # H8341
TX Medicaid 110604901
TX Other 1366417883 NPI NUMBER
1 Some organization health care providers are made up of components that furnish different types of health care or have separate physical locations where health care is furnished. These components and physical locations are not themselves legal entities, but are part of the organization health care provider (which is a legal entity). A covered organization provider may decide that its subparts (if it has any) should have their own NPI numbers. If a subpart conducts any HIPAA standard transactions on its own (e.g., separately from its parent), it must obtain its own NPI number.

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