Provider Demographics
NPI:1902283294
Name:PALO PINTO ORTHOPEDIC SPECIALISTS, P.A.
Entity Type:Organization
Organization Name:PALO PINTO ORTHOPEDIC SPECIALISTS, P.A.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:DR
Authorized Official - First Name:MICHAEL
Authorized Official - Middle Name:GERARD
Authorized Official - Last Name:BROWNE
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:940-328-7507
Mailing Address - Street 1:202 SW 25TH AVE
Mailing Address - Street 2:STE 1300
Mailing Address - City:MINERAL WELLS
Mailing Address - State:TX
Mailing Address - Zip Code:76067-8298
Mailing Address - Country:US
Mailing Address - Phone:940-328-7507
Mailing Address - Fax:940-205-4446
Practice Address - Street 1:202 SW 25TH AVE
Practice Address - Street 2:STE 1300
Practice Address - City:MINERAL WELLS
Practice Address - State:TX
Practice Address - Zip Code:76067-8298
Practice Address - Country:US
Practice Address - Phone:940-328-7507
Practice Address - Fax:940-205-4446
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2015-05-06
Last Update Date:2015-07-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TXM9887207X00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207X00000XAllopathic & Osteopathic PhysiciansOrthopaedic SurgeryGroup - Single Specialty