| Organization Name: | ORTHO KINEMATICS |
| NPI Number: | 1164848420 |
| Entity Type Code: | Organizational (2) |
| Authorized Official Name: | JASON GARRETT (VICE PRESIDENT CLIENT DEVELOPMENT) |
| Mailing Address: | 110 Wild Basin Rd Suite 250 West Lake Hills |
| State: | TX US |
| Postal Code: | 787463339 |
| Phone Number: | 5123345490 |
| Fax Number: | 5123345500 |
| NPI Enumeration Date: | 03/11/2014 |
| NPI Last Update Date: | 03/11/2014 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 261QR0200X |
| License Number: | |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | |
| Taxonomy Type: | Ambulatory Health Care Facilities |
| Taxonomy Classification: | Clinic/Center |
| Taxonomy Specialization: | Radiology |
| Taxonomy Definition: | |