SPORTS PHYSICIANS ORTHOPEDICS AND REHABILITATION OF TEXAS (NPI# 1033505664) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1033505664 |
| Entity Type | Organization |
| Organization Name | SPORTS PHYSICIANS ORTHOPEDICS AND REHABILITATION OF TEXAS |
| Practice Address |
19200 Preston Rd Ste 120 Dallas TX 75252-2450 |
| Practice Telephone | 4692002832 |
| Practice Fax Number | 4692691074 |
| Mailing Telephone | 4692002832 |
| Mailing Fax Number | 4692691074 |
| Enumeration Date | 2015-04-10 |
| Last Update Date | 2018-02-14 |
| Authorized Official Name | DR. ROBERT E BERRY (PRESIDENT) |
| Authorized Official Telephone | 4692002832 |
| Authorized Official Credential | DO |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 261QM2500X |
Clinic/Center Specialization: Medical Specialty |
Ambulatory Health Care Facilities |
| Street Address |
19200 PRESTON RD STE 120 |
| City | DALLAS |
| State | TX |
| Zip Code | 75252-2450 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1316971740 | Robert Eugene Berry | Orthopaedic Surgery | 19200 Preston Rd Ste 120, Dallas, TX 75252-2450 | 2006-07-10 |
| 1598397010 | Christopher Holle | Physical Therapist | 19200 Preston Rd Ste 120, Dallas, TX 75252-2450 | 2020-02-12 |
| 1427548403 | Osvaldo Burgos-iturrino | Physician Assistant | 19200 Preston Rd Ste 120, Dallas, TX 75252-2450 | 2018-05-15 |
| 1134665037 | Jade Webb | Physician Assistant | 19200 Preston Rd Ste 120, Dallas, TX 75252-2450 | 2017-01-16 |
| 1417395351 | Elizabeth Amanda Garrett | Physician Assistant | 19200 Preston Rd Ste 120, Dallas, TX 75252-2450 | 2013-06-13 |
| 1295171668 | Rathna Rao Nuti | Family Medicine | 19200 Preston Rd Ste 120, Dallas, TX 75252-2450 | 2013-05-13 |
| 1477800886 | Susie Xue Williams | Physical Therapist | 19200 Preston Rd Ste 120, Dallas, TX 75252-2450 | 2012-08-06 |
| 1013283860 | Adam O'brien | Orthopaedic Surgery | 19200 Preston Rd Ste 120, Dallas, TX 75252-2450 | 2012-03-27 |
| 1497081137 | Ryan Kurtis Hawkins | Physician Assistant | 19200 Preston Rd Ste 120, Dallas, TX 75252-2450 | 2009-11-01 |
| 1548370901 | Gina M Falke | Physician Assistant | 19200 Preston Rd Ste 120, Dallas, TX 75252-2450 | 2006-08-30 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1457914681 | Lashaun Nicole Mwangi | Counselor | 17740 Preston Rd., Suite 100-b, Dallas, TX 75252 | 2019-04-14 |
| 1699244921 | Naomi Silva | Counselor | 18208 Preston Rd. Ste D9-466, Dallas, TX 75252 | 2018-11-15 |
| 1134601560 | Douglas Wayne Barnes | Counselor | 17762 Preston Rd Suite 108, Dallas, TX 75252 | 2018-09-01 |
| 1528548260 | Rhejes Healthcare Services LLC | In Home Supportive Care | 19019 Preston Rd Apt 710, Dallas, TX 75252 | 2018-08-21 |
| 1447759212 | Quadmed Medical Clinics of Texas, P.a. D/b/a Quadmed Medical Grou | Clinic/Center | 17655 Waterview Parkway, Dallas, TX 75252 | 2018-02-07 |
| 1114436862 | Steven Wade Martin | Chiropractor | 17330 Preston Rd., Suite 150a, Dallas, TX 75252 | 2017-09-26 |
| 1053766568 | Helix Health LLC | Clinical Medical Laboratory | 17218 Preston Road, Suite #4200, Dallas, TX 75252 | 2016-05-03 |
| 1144619511 | Bay Crest LLC | Home Health | 18208 Preston Rd Ste 151, Dallas, TX 75252 | 2015-01-22 |
| 1255720579 | Damion P Davis | Counselor | 17210 Campbell Rd, #200, Dallas, TX 75252 | 2015-01-12 |
| 1891109435 | Pediatric Home Healthcare, LLC | Home Health | 17950 Preston Rd # 370, Dallas, TX 75252 | 2014-06-11 |
| Find all providers in zip 75252 | ||||
| Taxonomy Code | 261QM2500X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Medical Specialty |
| An entity, facility, or distinct part of a facility providing diagnostic, treatment, and prescriptive services related to a specific area of medical specialization. Frequently used for Title V related Children's Specialty services or to meet specific public health needs (e.g., infectious diseases or breast and cervical cancer). |
| Notes: [7/1/2003: new] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1164061644 | Iari | Clinic/Center | 12606 Greenville Ave Ste 190b, Dallas, TX 75243-1921 | 2019-12-31 |
| 1144761404 | Sandra Illum Md Pllc | Clinic/Center | 17101 Preston Rd Ste 190s, Dallas, TX 75248-1331 | 2017-03-20 |
| 1669727012 | The Snoring Center | Clinic/Center | 6901 Snider Plz Ste 225, Dallas, TX 75205-5650 | 2012-07-20 |
| 1073895694 | Robert Gordon Duchouquette Sr. | Clinic/Center | 4435 Laren Ln, Dallas, TX 75244-6712 | 2011-09-10 |
| 1689970295 | R Anthony Moore Md Pa | Clinic/Center | 3838 Oak Lawn, 908, Dallas, TX 75219-4520 | 2011-01-28 |
| 1912163239 | Ann E. Lutich, Md Pa | Clinic/Center | 8160 Walnut Hill Ln Ste 306, Dallas, TX 75231-4391 | 2008-08-06 |
| 1497951321 | Texas Vestibular Diagnostics | Clinic/Center | 12800 Preston Rd Ste 101, Dallas, TX 75230-1366 | 2007-06-26 |
| 1871794800 | Hand & Upper Extremity Center | Clinic/Center | 7989 W Virginia Dr # 105, Dallas, TX 75237-3765 | 2007-05-29 |
| 1295886455 | Aaron Women's Health Center, M.d.p.a. | Clinic/Center | 6546 Lyndon B Johnson Fwy, Dallas, TX 75240-6502 | 2007-01-15 |
| 1376651117 | Ivette C Lozano | Clinic/Center | 10425 Garland Rd, Dallas, TX 75218-2926 | 2006-08-29 |
| Find all providers in DALLAS | ||||
Please comment or provide details below to improve the information on SPORTS PHYSICIANS ORTHOPEDICS AND REHABILITATION OF TEXAS.
| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.