Provider Demographics
NPI:1336576263
Name:ALPHA ORTHOPEDIC PHYSICIAN GROUP, P.A.
Entity type:Organization
Organization Name:ALPHA ORTHOPEDIC PHYSICIAN GROUP, P.A.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:DIRECTOR
Authorized Official - Prefix:
Authorized Official - First Name:CHARLES
Authorized Official - Middle Name:E
Authorized Official - Last Name:TOULSON
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:972-838-1635
Mailing Address - Street 1:6850 TPC DRIVE
Mailing Address - Street 2:SUITE 116
Mailing Address - City:MCKINNEY
Mailing Address - State:TX
Mailing Address - Zip Code:75070
Mailing Address - Country:US
Mailing Address - Phone:972-838-1635
Mailing Address - Fax:972-838-1634
Practice Address - Street 1:11970 N CENTRAL EXPRESSWAY
Practice Address - Street 2:SUITE 630
Practice Address - City:DALLAS
Practice Address - State:TX
Practice Address - Zip Code:75243
Practice Address - Country:US
Practice Address - Phone:972-385-8032
Practice Address - Fax:972-385-8033
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2013-10-10
Last Update Date:2013-12-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes332B00000XSuppliersDurable Medical Equipment & Medical Supplies