Northeast Orthopaedic & Sports Medicine, LLP

NPI #1841580727 in Live Oak, Texas

Provider Information

NPI Number: 1841580727
Entity Type: Organization
Organization Name: Northeast Orthopaedic & Sports Medicine, LLP
Primary Specialty: Specialist
Enumeration Date: Apr 13, 2011
Last Updated: Apr 13, 2011

Practice Location

Address: 12709 TOEPPERWEIN RD
Address 2: SUITE 101
City: Live Oak
State: Texas
ZIP Code: 78233-3258
Phone: (210) 477-5151

Authorized Official

Name: DR. DAVID L FOX, M.D.
Title: MANAGING PARTNER
Phone: (210) 477-5151

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Specialist	174400000X	Primary

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