Active NPI
Texas Arthroscopic Surgery Clinic
- Orthopaedic Surgery Physician
- Fort Worth, TX
National Provider Identifier
1699809335
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Orthopaedic Surgery Physician
- License
- E5196
- Legal business name
- TEXAS ARTHROSCOPIC SURGERY CLINIC
- Practice address
- 800 8TH Ave
Suite 116
Fort Worth, TX 76104-2601 - Phone
- (817) 336-5633
- Fax
- (817) 870-9760
- NPI assigned
- Mar 15, 2007
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Dr. Angelo Luis Otero, M.D.
- Title
- Owner
- Phone
- (817) 336-5633
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Orthopaedic Surgery Physician | 207X00000X | E5196 | TX | Primary |
Addresses
Primary practice location
800 8TH Ave
Suite 116
Fort Worth, TX 76104-2601
Mailing address
800 8TH Ave
Suite 116
Fort Worth, TX 76104-2601
Phone (817) 336-5633
Other identifiers 3
| Identifier | Type | State | Issuer |
|---|---|---|---|
| C54519 | Other | MEDICARE RR | |
| 0063HT | Other | TX | BCBS |
| 162093201 | Medicaid | TX |
National Provider Directory
National Provider DirectoryNPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1173916800000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1214179200000",
"number": "1699809335",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "800 8TH AVE",
"address_2": "SUITE 116",
"city": "FORT WORTH",
"state": "TX",
"postal_code": "761042601",
"telephone_number": "817-336-5633",
"fax_number": "817-870-9760"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "800 8TH AVE",
"address_2": "SUITE 116",
"city": "FORT WORTH",
"state": "TX",
"postal_code": "761042601",
"telephone_number": "817-336-5633",
"fax_number": "817-870-9760"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "TEXAS ARTHROSCOPIC SURGERY CLINIC",
"organizational_subpart": "NO",
"enumeration_date": "2007-03-15",
"last_updated": "2008-06-23",
"status": "A",
"authorized_official_last_name": "OTERO",
"authorized_official_first_name": "ANGELO",
"authorized_official_middle_name": "LUIS",
"authorized_official_title_or_position": "OWNER",
"authorized_official_telephone_number": "817-336-5633",
"authorized_official_name_prefix": "Dr.",
"authorized_official_credential": "M.D."
},
"taxonomies": [
{
"code": "207X00000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Orthopaedic Surgery",
"state": "TX",
"license": "E5196",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "MEDICARE RR",
"identifier": "C54519",
"state": null
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BCBS",
"identifier": "0063HT",
"state": "TX"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "162093201",
"state": "TX"
}
],
"endpoints": [],
"other_names": []
}Other providers in Fort Worth, TX
- Shirley S Tetteh, MD
- Laura Michelle Tewmey, OTR/L
- Tex-Cal Medical Services, PLLC
- Texacare Urgent Care, PLLC
- Texans Home Health Care Services LLC
- Texas Care Center FW NW LLC
- Texas Care One Home Health Agency
- Texas Caregivers Inc
- Texas Center for Urology LLP
- Texas Centers for Infectious Disease Associates PA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 23, 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.