Organization Active NPI

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

  • Orthopaedic Surgery Physician
  • Fort Worth, TX
National Provider Identifier
1689633430
Registry record updated Feb 5, 2008
On this page

Key facts

NPPES NPI Registry
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
Last updated
Feb 5, 2008By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 5, 2008

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.NPI 1366409419
Title
Presiden
Phone
(817) 737-8880

Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Orthopaedic Surgery PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207X00000X F4102 TX Primary

Addresses

Primary practice location

3625 Camp Bowie Blvd
Fort Worth, TX 76107-3351

Mailing address

3625 Camp Bowie Blvd
Fort Worth, TX 76107-3351
Phone (817) 737-8880

National Provider Directory

National Provider Directory

Locations

3625 Camp Bowie Blvd
#1166
Fort Worth, TX 76107

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Fort Worth, TX

Sources for this page

  • 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.