Provider Demographics
NPI:1992049803
Name:THE ORTHOPEDIC CENTER OF LAS COLINAS, PA
Entity type:Organization
Organization Name:THE ORTHOPEDIC CENTER OF LAS COLINAS, PA
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PHYSICIAN
Authorized Official - Prefix:DR
Authorized Official - First Name:CHRISTOPHER
Authorized Official - Middle Name:LYNN
Authorized Official - Last Name:GAYDEN
Authorized Official - Suffix:
Authorized Official - Credentials:DO
Authorized Official - Phone:972-831-8000
Mailing Address - Street 1:701 TUSCAN DR
Mailing Address - Street 2:SUITE 225
Mailing Address - City:IRVING
Mailing Address - State:TX
Mailing Address - Zip Code:75039-4133
Mailing Address - Country:US
Mailing Address - Phone:972-831-8000
Mailing Address - Fax:972-957-2775
Practice Address - Street 1:701 TUSCAN DR
Practice Address - Street 2:SUITE 225
Practice Address - City:IRVING
Practice Address - State:TX
Practice Address - Zip Code:75039-4133
Practice Address - Country:US
Practice Address - Phone:972-831-8000
Practice Address - Fax:972-957-2775
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2012-11-15
Last Update Date:2013-03-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TXK7745207X00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207X00000XAllopathic & Osteopathic PhysiciansOrthopaedic SurgeryGroup - Single Specialty