Provider Demographics
NPI:1124505367
Name:TEXAS CENTER FOR HIP & KNEE REPLACEMENT SURGERY, PLLC
Entity type:Organization
Organization Name:TEXAS CENTER FOR HIP & KNEE REPLACEMENT SURGERY, PLLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER, MEDICAL DIRECTOR
Authorized Official - Prefix:
Authorized Official - First Name:CHRISTOPHER
Authorized Official - Middle Name:
Authorized Official - Last Name:BLAIR
Authorized Official - Suffix:
Authorized Official - Credentials:DO
Authorized Official - Phone:972-235-5633
Mailing Address - Street 1:TEXAS CENTER FOR HIP & KNEE REPLACEMENT SURGERY, PLLC
Mailing Address - Street 2:2821 E. PRESIDENT GEORGE BUSH HWY, SUITE 300
Mailing Address - City:RICHARDSON
Mailing Address - State:TX
Mailing Address - Zip Code:75082
Mailing Address - Country:US
Mailing Address - Phone:214-930-1252
Mailing Address - Fax:
Practice Address - Street 1:TEXAS CENTER FOR HIP & KNEE REPLACEMENT SURGERY, PLLC
Practice Address - Street 2:2821 E. PRESIDENT GEORGE BUSH HWY, SUITE 300
Practice Address - City:RICHARDSON
Practice Address - State:TX
Practice Address - Zip Code:75082
Practice Address - Country:US
Practice Address - Phone:214-930-1252
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2018-07-20
Last Update Date:2018-12-03
Deactivation Date:2018-11-08
Deactivation Code:
Reactivation Date:2018-11-30
Provider Licenses
StateLicense IDTaxonomies
TXJ6340207X00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207X00000XAllopathic & Osteopathic PhysiciansOrthopaedic SurgeryGroup - Single Specialty