Organization Name: | NORTHEAST ORTHOPAEDIC & SPORTS MEDICINE, LLP |
NPI Number: | 1841580727 |
Entity Type Code: | Organizational (2) |
Authorized Official Name: | DAVID L FOX (MANAGING PARTNER) |
Mailing Address: | 12709 Toepperwein Rd Suite 101 Live Oak |
State: | TX US |
Postal Code: | 782333258 |
Phone Number: | 2104775151 |
Fax Number: | 2104775152 |
NPI Enumeration Date: | 04/13/2011 |
NPI Last Update Date: | 04/13/2011 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 174400000X |
License Number: | H5882 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | TX |
Taxonomy Type: | Other Service Providers |
Taxonomy Classification: | Specialist |
Taxonomy Specialization: | |
Taxonomy Definition: | An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree. |