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Contact Information

ADNOGON SPORTS MEDICINE
2500 LAKESIDE PKWY STE 120
FLOWER MOUND, TX75022-4254
 Phone: 214-285-8774
 Fax: 972-316-9245
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Sports Physician

111NS0005X 35 Chiropractic
Indicates primary specialty

NPI Profile & details for ADNOGON SPORTS MEDICINE

NPI Number 1275117590
LBN Legal business name ADNOGON SPORTS MEDICINE
Authorized official JAIME GONZALEZ - (OWNER)
Entity Organization
Organization subpart 1 No
Enumeration date 05/12/2021
Last updated 05/12/2021 - About 5 years ago
Identifiers
TX Other 1356489900 INDIVIDUAL NPI
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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