Provider Demographics
NPI:1730270554
Name:GREATER AUSTIN ORTHOPAEDICS PA.
Entity type:Organization
Organization Name:GREATER AUSTIN ORTHOPAEDICS PA.
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:DR
Authorized Official - First Name:DEAN
Authorized Official - Middle Name:
Authorized Official - Last Name:CHEN
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:512-314-3910
Mailing Address - Street 1:3003 BEE CAVES RD STE 201
Mailing Address - Street 2:
Mailing Address - City:AUSTIN
Mailing Address - State:TX
Mailing Address - Zip Code:78746-5550
Mailing Address - Country:US
Mailing Address - Phone:512-314-3910
Mailing Address - Fax:512-377-1520
Practice Address - Street 1:3003 BEE CAVES RD STE 201
Practice Address - Street 2:
Practice Address - City:AUSTIN
Practice Address - State:TX
Practice Address - Zip Code:78746-5550
Practice Address - Country:US
Practice Address - Phone:512-314-3910
Practice Address - Fax:512-377-1520
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-09-27
Last Update Date:2019-09-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TXK8066207X00000X
TXK8326207XS0117X, 207X00000X, 207X00000X
TXM6367207X00000X, 207XS0106X
TX1121366225100000X
TX1181693225100000X
TX113068225X00000X, 225XH1200X
TXP4615207X00000X, 207X00000X
TX1152748225100000X
TX1156919225100000X
TXG2720207X00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207X00000XAllopathic & Osteopathic PhysiciansOrthopaedic SurgeryGroup - Multi-Specialty
No207XS0117XAllopathic & Osteopathic PhysiciansOrthopaedic SurgeryOrthopaedic Surgery of the SpineGroup - Multi-Specialty
No207XS0106XAllopathic & Osteopathic PhysiciansOrthopaedic SurgeryHand SurgeryGroup - Multi-Specialty
No225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical TherapistGroup - Multi-Specialty
No225X00000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersOccupational TherapistGroup - Multi-Specialty
No225XH1200XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersOccupational TherapistHandGroup - Multi-Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
TX6202490001Medicare NSC
TX00665XMedicare PIN