Pediatric Sports and Spine Associates
Organization Active NPI Pediatric Orthopaedic Surgery Physician · Grapevine, TX
NPI 1912923376 · NPPES record last updated Apr 14, 2008
Key facts
- NPI
- 1912923376
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Pediatric Orthopaedic Surgery Physician 207XP3100X
- Legal business name
- PEDIATRIC SPORTS AND SPINE ASSOCIATES
- Practice address
- 2020 W State Highway 114
Suite 110
Grapevine, TX 76051-8649 - Phone
- (817) 310-0810
- Fax
- (817) 812-3525
- NPI assigned
- Jul 15, 2006
- Organization subpart
- No
Authorized official
- Name
- Dr. David Scott Brown, M.D.
- Title
- President
- Phone
- (817) 310-0810
Corporate family (same tax ID) 1
Practitioners 2
-
Roderick Marcus Capelo, M.D.
National Provider Directory
- Tax ID family
- Pediatric Sports and Spine Associates
Locations
2020 W State Highway 114
Ste 110
Grapevine, TX 76051
Phone (817) 310-0810
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pediatric Orthopaedic Surgery Physician |
207XP3100X | Yes |
Addresses
Primary practice location
2020 W State Highway 114
Suite 110
Grapevine, TX 76051-8649
Mailing address
2020 W State Highway 114
Suite 110
Grapevine, TX 76051-8649
Phone (817) 310-0810
Other providers in Grapevine, TX
- Richard Brett Payne
- Peak Medical PLLC
- Barbara S Peavey
- Pediatric Dermatology of No. TX
- Pediatric Ophthalmology PA
- Pediatric Theraplay Inc
- Amber Peek
- Rebecca Elizabeth Pegues
- Carmen Loren Pemberton
- Ismail S Penukonda
All providers in Grapevine, TX · Pediatric Orthopaedic Surgery Physician in Texas
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Apr 14, 2008. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.