Fort Worth Orthopedic Surgery & Sports Medicine, P.a.

Primary specialty

Orthopaedic Surgery PhysicianTaxonomy code 207X00000X

License

F4102 Issued in TX

Legal business name

FORT WORTH ORTHOPEDIC SURGERY & SPORTS MEDICINE, P.A.

Practice address

3625 Camp Bowie Blvd
Fort Worth, TX 76107-3351

Phone

(817) 737-8880

Fax

(817) 731-9112

NPI assigned

Mar 21, 2006

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Dr. Christopher K Hull, D.O.

Title

Presiden

Phone

(817) 737-8880

Specialties & licenses 1

Addresses

Other identifiers 1

Locations

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1142899200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1202169600000",
    "number": "1689633430",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3625 CAMP BOWIE BLVD",
            "city": "FORT WORTH",
            "state": "TX",
            "postal_code": "761073351",
            "telephone_number": "817-737-8880",
            "fax_number": "817-731-9112"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3625 CAMP BOWIE BLVD",
            "city": "FORT WORTH",
            "state": "TX",
            "postal_code": "761073351",
            "telephone_number": "817-737-8880",
            "fax_number": "817-731-9112"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FORT WORTH ORTHOPEDIC SURGERY & SPORTS MEDICINE, P.A.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-03-21",
        "last_updated": "2008-02-05",
        "status": "A",
        "authorized_official_last_name": "HULL",
        "authorized_official_first_name": "CHRISTOPHER",
        "authorized_official_middle_name": "K",
        "authorized_official_title_or_position": "PRESIDEN",
        "authorized_official_telephone_number": "817-737-8880",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.O."
    },
    "taxonomies": [
        {
            "code": "207X00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Orthopaedic Surgery",
            "state": "TX",
            "license": "F4102",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "2000022563",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

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• Orthopaedic Surgery Physician in Fort Worth, TX
• Providers in Fort Worth, TX by specialty
• Orthopaedic Surgery Physician in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 5, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.