Provider Demographics
NPI:1083403380
Name:ORTHOPEDIC CENTER OF NACOGDOCHES
Entity type:Organization
Organization Name:ORTHOPEDIC CENTER OF NACOGDOCHES
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER/PHYSICIAN
Authorized Official - Prefix:
Authorized Official - First Name:CHRISTOPHER
Authorized Official - Middle Name:
Authorized Official - Last Name:GAYDEN
Authorized Official - Suffix:
Authorized Official - Credentials:DO
Authorized Official - Phone:936-303-0690
Mailing Address - Street 1:3205 N UNIVERSITY DR STE E
Mailing Address - Street 2:
Mailing Address - City:NACOGDOCHES
Mailing Address - State:TX
Mailing Address - Zip Code:75965-2683
Mailing Address - Country:US
Mailing Address - Phone:936-303-0690
Mailing Address - Fax:
Practice Address - Street 1:3205 N UNIVERSITY DR STE E
Practice Address - Street 2:
Practice Address - City:NACOGDOCHES
Practice Address - State:TX
Practice Address - Zip Code:75965-2683
Practice Address - Country:US
Practice Address - Phone:936-303-0690
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2025-05-02
Last Update Date:2025-05-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207X00000XAllopathic & Osteopathic PhysiciansOrthopaedic SurgeryGroup - Single Specialty