Las Colinas Orthopedic Surgery & Sports Medicine P.a.

NPI #1548965593 in Southlake, Texas

Provider Information

NPI Number: 1548965593
Entity Type: Organization
Organization Name: Las Colinas Orthopedic Surgery & Sports Medicine P.a.
Subpart: Yes (part of a larger organization)
Parent Organization: LAS COLINAS ORTHOPEDIC SURGERY & SPORTS MEDICINE P.A.
Primary Specialty: Durable Medical Equipment & Medical Supplies
Enumeration Date: Mar 31, 2023
Last Updated: May 29, 2025

Practice Location

Address: 910 E SOUTHLAKE BLVD STE 155
City: Southlake
State: Texas
ZIP Code: 76092-6389
Phone: (817) 421-5000

Authorized Official

Name: DHARA THAKKAR
Title: OFFICE MANAGER
Phone: (972) 637-8960

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Specialist	174400000X
Durable Medical Equipment & Medical Supplies	332B00000X	Primary

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