Active NPI 1043218829 Individual Practitioner Male Practitioner

Dr. David William Bobb , MD

Orthopaedic Surgery • Norman, OK

✓ Accepts Medicare Assignment

Professional Overview & Biography Verified Profile Summary

Dr. David Bobb, MD is a certified Orthopaedic Surgery practicing in Norman, OK. With approximately 25 years of clinical experience since graduating from University Of Oklahoma College Of Medicine in 2001, Dr. Bobb delivers high-quality medical care to the local community at 825 E ROBINSON ST.

Dr. Bobb is affiliated with Orthopaedic And Sports Medicine Center-Norman Pc and accepts Medicare assignment.

Frequently performed procedures and clinical services include hyaluronan or derivative, trivisc, for intra-articular injection, 1 mg, injection, triamcinolone acetonide, not otherwise specified, 10 mg, aspiration and/or injection of fluid from large joint. Full Medicare procedure pricing transparency rates and service volume details are listed on this profile.

Practice Location & Contact Primary Location

Practice Address

825 E Robinson St

Norman, OK 730716610

Telephone 4053647900

Fax 4053666214

Associated Practice Facility / Clinic

🏢 Orthopaedic And Sports Medicine Center-Norman, P.c. Facility NPI 1306854765

Medicare Profile & Education

Medical School

University Of Oklahoma College Of Medicine

Graduation Year

2001

Medicare Assignment

✓ Accepts Assignment

Telehealth Flag

In-Person Only

Specialty Benchmarks & Practice Insights

Comparative analytics for Orthopaedic Surgery in Norman, OK

Senior Veteran Specialist (>20 Yrs)

Practitioner Clinical Experience

25 Yrs +4.3 yrs vs City Avg

City Avg: 20.7 Yrs

State Avg: 26.6 Yrs

Regional Practice Density

11 Specialists

Practicing in Norman, OK (328 Statewide)

Telehealth Adoption Rate

0.0% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount

65.9% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Clinical Seniority & Experience Comparison

Dr. Bobb (25 Years) 25 Yrs

Norman Specialty Average (20.7 Years) 20.7 Yrs

Performed Procedures & Service Volume

Top Medicare Part B procedures performed by this practitioner

CMS Official Data (2024)

Reporting Year:

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
J7329 Hyaluronan or derivative, trivisc, for intra-articular injection, 1 mg	6,875	69	$30.68	$7.14
J3301 Injection, triamcinolone acetonide, not otherwise specified, 10 mg	1,820	160	$15.00	$0.97
20610 Aspiration and/or injection of fluid from large joint	423	150	$219.69	$65.61
99213 Established patient office or other outpatient visit, typically 15 minutes	153	107	$214.23	$83.34
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	148	124	$311.82	$117.53
73564 X-ray of knee, 4 or more views	140	106	$120.66	$42.07
73030 X-ray of shoulder, minimum of 2 views	83	68	$91.38	$30.68
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	52	52	$307.92	$102.89
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	42	33	$128.61	$51.57
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	40	40	$479.13	$155.12
72100 X-ray of lower and sacral spine, 2-3 views	29	28	$105.33	$35.72
72170 X-ray of pelvis, 1-2 views	18	18	$78.81	$25.05
73502 X-ray of hip, 2-3 views	15	15	$127.95	$42.38

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
J7329 Hyaluronan or derivative, trivisc, for intra-articular injection, 1 mg	7,450	68	$39.93	$8.91
J3301 Injection, triamcinolone acetonide, not otherwise specified, 10 mg	1,556	135	$15.00	$1.06
20610 Aspiration and/or injection of fluid from large joint	445	147	$223.54	$67.74
99213 Established patient office or other outpatient visit, typically 15 minutes	253	174	$214.23	$84.84
J0702 Injection, betamethasone acetate 3 mg and betamethasone sodium phosphate 3 mg	196	25	$10.30	$6.84
73564 X-ray of knee, 4 or more views	162	118	$121.40	$42.65
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	149	124	$311.82	$119.90
73030 X-ray of shoulder, minimum of 2 views	93	68	$91.38	$31.24
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	86	86	$307.92	$104.59
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	48	48	$479.13	$157.33
73562 X-ray of knee, 3 views	45	23	$107.70	$37.17
73502 X-ray of hip, 2-3 views	37	29	$127.95	$43.01
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	27	23	$128.61	$52.83
72100 X-ray of lower and sacral spine, 2-3 views	24	23	$105.33	$35.66
72170 X-ray of pelvis, 1-2 views	14	13	$78.81	$24.47
72040 X-ray of upper spine, 2-3 views	11	11	$105.33	$36.43

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
J7320 Hyaluronan or derivitive, genvisc 850, for intra-articular injection, 1 mg	4,975	29	$30.00	$16.19
J7329 Hyaluronan or derivative, trivisc, for intra-articular injection, 1 mg	2,775	27	$39.93	$11.34
J0702 Injection, betamethasone acetate 3 mg and betamethasone sodium phosphate 3 mg	1,201	127	$9.00	$6.57
20610 Aspiration and/or injection of fluid from large joint	398	129	$237.15	$69.46
99213 Established patient office or other outpatient visit, typically 15 minutes	179	135	$214.23	$84.35
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	150	122	$311.82	$119.44
73564 X-ray of knee, 4 or more views	125	102	$121.63	$42.09
73030 X-ray of shoulder, minimum of 2 views	77	55	$91.38	$31.25
73502 X-ray of hip, 2-3 views	74	49	$127.95	$39.75
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	70	70	$307.92	$105.73
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	58	58	$479.13	$154.22
73562 X-ray of knee, 3 views	54	31	$107.70	$37.74
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	25	25	$128.61	$52.92
72100 X-ray of lower and sacral spine, 2-3 views	24	24	$105.33	$36.91
99215 Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more	14	13	$420.00	$171.40
72170 X-ray of pelvis, 1-2 views	12	12	$78.81	$25.79

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
J7320 Hyaluronan or derivitive, genvisc 850, for intra-articular injection, 1 mg	9,475	65	$29.16	$16.92
J0702 Injection, betamethasone acetate 3 mg and betamethasone sodium phosphate 3 mg	1,027	120	$9.00	$7.09
20610 Aspiration and/or injection of fluid from large joint	507	152	$218.68	$67.08
J3301 Injection, triamcinolone acetonide, not otherwise specified, 10 mg	488	58	$15.00	$1.20
99213 Established patient office or other outpatient visit, typically 15 minutes	178	141	$214.23	$86.44
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	165	136	$311.82	$123.80
73564 X-ray of knee, 4 or more views	112	95	$120.66	$41.46
73030 X-ray of shoulder, minimum of 2 views	105	68	$91.38	$30.81
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	93	93	$307.92	$107.36
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	82	82	$479.06	$155.76
73502 X-ray of hip, 2-3 views	59	37	$124.68	$41.43
73562 X-ray of knee, 3 views	46	31	$107.70	$36.11
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	25	24	$128.61	$53.44
73610 X-ray of ankle, minimum of 3 views	20	13	$96.06	$32.60
72100 X-ray of lower and sacral spine, 2-3 views	19	19	$105.33	$36.92
73100 X-ray of wrist, 2 views	19	11	$59.00	$28.92
73070 X-ray of elbow, 2 views	18	14	$78.69	$27.03
29826 Shaving of part of shoulder bone and repair of ligament using an endoscope	16	16	$520.35	$169.42
29823 Removal of extensive shoulder joint tissue using an endoscope	16	16	$1836.30	$147.26
29828 Release of shoulder biceps tendon using an endoscope	15	15	$2701.47	$615.48
29824 Partial removal of collar bone at shoulder using an endoscope	15	15	$1974.24	$199.13
99222 Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes	14	14	$404.94	$131.28
72040 X-ray of upper spine, 2-3 views	11	11	$105.33	$36.61
27130 Replacement of thigh bone and hip joint with prosthesis	11	11	$4008.99	$1247.10

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
J7320 Hyaluronan or derivitive, genvisc 850, for intra-articular injection, 1 mg	8,925	67	$18.60	$16.57
J0702 Injection, betamethasone acetate 3 mg and betamethasone sodium phosphate 3 mg	1,537	171	$9.00	$6.97
20610 Aspiration and/or injection of fluid from large joint	494	172	$165.83	$66.53
99213 Established patient office or other outpatient visit, typically 15 minutes	213	152	$154.29	$70.77
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	199	169	$225.40	$102.69
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	126	126	$227.05	$101.01
73564 X-ray of knee, 4 or more views	122	98	$94.27	$40.12
73030 X-ray of shoulder, minimum of 2 views	92	66	$90.28	$29.56
73502 X-ray of hip, 2-3 views	72	41	$72.54	$41.46
73562 X-ray of knee, 3 views	49	33	$83.39	$35.91
73610 X-ray of ankle, minimum of 3 views	23	15	$77.54	$31.01
72100 X-ray of lower and sacral spine, 2-3 views	18	18	$86.00	$35.13
27447 Replacement of knee joint, both sides of knee	17	17	$4118.47	$1330.50
72040 X-ray of upper spine, 2-3 views	16	16	$92.79	$35.07
99222 Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes	16	16	$303.74	$135.48
29824 Partial removal of collar bone at shoulder using an endoscope	15	15	$1632.54	$248.59
29823 Removal of extensive shoulder joint tissue using an endoscope	14	14	$1860.60	$149.15
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	13	13	$327.21	$157.79
29826 Shaving of part of shoulder bone and repair of ligament using an endoscope	13	13	$1102.65	$173.30
27130 Replacement of thigh bone and hip joint with prosthesis	11	11	$4021.36	$1327.80
72170 X-ray of pelvis, 1-2 views	11	11	$58.00	$26.24
29880 Removal of both knee cartilages using an endoscope	11	11	$1952.13	$545.44
29828 Release of shoulder biceps tendon using an endoscope	11	11	$2382.62	$608.77

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
J0702 Injection, betamethasone acetate 3 mg and betamethasone sodium phosphate 3 mg	2,162	247	$9.00	$6.77
J7320 Hyaluronan or derivitive, genvisc 850, for intra-articular injection, 1 mg	1,125	13	$18.60	$16.65
20610 Aspiration and/or injection of fluid from large joint	591	238	$141.73	$62.01
99213 Established patient office or other outpatient visit, typically 15 minutes	290	218	$140.00	$70.00
J7324 Hyaluronan or derivative, orthovisc, for intra-articular injection, per dose	279	73	$278.00	$229.48
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	174	174	$205.00	$102.58
73564 X-ray of knee, 4 or more views	163	137	$90.00	$38.22
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	158	138	$205.00	$102.56
73030 X-ray of shoulder, minimum of 2 views	114	92	$90.00	$27.87
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	91	82	$85.00	$42.49
73502 X-ray of hip, 2-3 views	59	40	$60.00	$38.06
73562 X-ray of knee, 3 views	50	32	$80.00	$32.74
99222 Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes	27	27	$270.00	$133.79
99202 New patient office or other outpatient visit, typically 20 minutes	21	21	$145.00	$72.40
27447 Replacement of knee joint, both sides of knee	21	21	$4220.00	$1335.56
72100 X-ray of lower and sacral spine, 2-3 views	21	21	$86.00	$33.75
72170 X-ray of pelvis, 1-2 views	18	18	$58.00	$30.37
73610 X-ray of ankle, minimum of 3 views	17	13	$71.00	$29.38
29826 Shaving of part of shoulder bone and repair of ligament using an endoscope	14	13	$1782.00	$174.64
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	14	14	$315.00	$157.64
73100 X-ray of wrist, 2 views	14	12	$59.00	$27.89
29828 Release of shoulder biceps tendon using an endoscope	13	13	$2000.00	$784.13
73630 X-ray of foot, minimum of 3 views	13	12	$71.00	$28.76
23430 Anchoring of biceps tendon	13	13	$1466.00	$363.32
29824 Partial removal of collar bone at shoulder using an endoscope	12	12	$1120.00	$190.61
27130 Replacement of thigh bone and hip joint with prosthesis	11	11	$4026.00	$1275.49
29823 Removal of extensive shoulder joint tissue using an endoscope	11	11	$1893.00	$143.65
72040 X-ray of upper spine, 2-3 views	11	11	$91.00	$33.78

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
J0702 Injection, betamethasone acetate 3 mg and betamethasone sodium phosphate 3 mg	2,140	250	$9.00	$7.05
20610 Aspiration and/or injection of fluid from large joint	476	228	$148.91	$63.63
99213 Established patient office or other outpatient visit, typically 15 minutes	365	263	$140.00	$68.61
J7324 Hyaluronan or derivative, orthovisc, for intra-articular injection, per dose	235	58	$278.00	$142.57
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	181	181	$205.00	$101.95
73030 X-ray of shoulder, minimum of 2 views	122	90	$90.00	$26.20
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	115	103	$205.00	$100.46
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	100	93	$85.00	$41.22
73564 X-ray of knee, 4 or more views	97	82	$90.00	$35.89
73502 X-ray of hip, 2-3 views	59	44	$60.00	$36.05
73562 X-ray of knee, 3 views	56	39	$80.00	$32.24
73610 X-ray of ankle, minimum of 3 views	24	18	$71.00	$27.14
99222 Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes	24	24	$270.00	$132.87
23430 Anchoring of biceps tendon	22	22	$1466.00	$359.49
27447 Replacement of knee joint, both sides of knee	20	20	$4220.00	$1323.79
72100 X-ray of lower and sacral spine, 2-3 views	18	18	$86.00	$32.17
20550 Injection into tendon or ligament	18	16	$121.00	$50.86
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	17	17	$315.00	$157.36
72170 X-ray of pelvis, 1-2 views	15	15	$58.00	$27.74
23412 Repair of chronic torn shoulder rotator cuff	15	15	$1857.00	$825.45
29824 Partial removal of collar bone at shoulder using an endoscope	15	15	$1120.00	$200.11
23120 Partial removal of collar bone	14	14	$1115.00	$281.01
29826 Shaving of part of shoulder bone and repair of ligament using an endoscope	14	14	$1782.00	$155.02
29823 Removal of extensive shoulder joint tissue using an endoscope	14	14	$1893.00	$117.47
20605 Aspiration and/or injection of medium joint or joint capsule	13	11	$103.00	$45.18
29880 Removal of both knee cartilages using an endoscope	13	13	$2211.00	$492.76
29828 Release of shoulder biceps tendon using an endoscope	12	12	$2000.00	$535.12
23130 Removal or repair of collar bone and shoulder blade joint	11	11	$1115.00	$293.56

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
J0702 Injection, betamethasone acetate 3 mg and betamethasone sodium phosphate 3 mg	2,259	291	$9.00	$6.75
20610 Aspiration and/or injection of fluid from large joint	547	271	$141.44	$60.82
99213 Established patient office or other outpatient visit, typically 15 minutes	350	260	$132.50	$67.53
J7324 Hyaluronan or derivative, orthovisc, for intra-articular injection, per dose	259	72	$278.00	$146.27
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	248	220	$199.07	$99.23
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	217	217	$189.03	$99.72
73030 X-ray of shoulder, minimum of 2 views	191	119	$89.06	$25.40
73564 X-ray of knee, 4 or more views	125	117	$89.28	$35.35
73502 X-ray of hip, 2-3 views	108	80	$60.00	$35.15
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	91	86	$80.88	$40.35
73562 X-ray of knee, 3 views	73	50	$80.00	$29.75
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	55	55	$293.36	$152.58
99222 Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes	52	51	$251.15	$131.63
73610 X-ray of ankle, minimum of 3 views	36	22	$71.00	$26.82
72170 X-ray of pelvis, 1-2 views	31	31	$58.00	$27.93
27447 Replacement of knee joint, both sides of knee	29	29	$4220.00	$1306.65
72100 X-ray of lower and sacral spine, 2-3 views	27	26	$86.00	$31.81
23430 Anchoring of biceps tendon	23	23	$1466.00	$355.24
73560 X-ray of knee, 1-2 views	23	11	$68.00	$25.22
20550 Injection into tendon or ligament	18	14	$121.00	$50.09
73565 X-ray of both knees while standing	17	17	$87.00	$32.14
29826 Shaving of part of shoulder bone and repair of ligament using an endoscope	16	16	$1782.00	$163.07
73100 X-ray of wrist, 2 views	16	12	$59.00	$26.25
29824 Partial removal of collar bone at shoulder using an endoscope	16	16	$1120.00	$206.77
29823 Removal of extensive shoulder joint tissue using an endoscope	16	16	$1893.00	$135.69
23600 Closed treatment of broken top of upper arm bone	16	16	$410.00	$301.96
29828 Release of shoulder biceps tendon using an endoscope	15	15	$2000.00	$675.95
73630 X-ray of foot, minimum of 3 views	15	11	$71.00	$26.29
20605 Aspiration and/or injection of medium joint or joint capsule	14	12	$103.00	$47.48
73070 X-ray of elbow, 2 views	14	12	$67.00	$23.42
27245 Treatment of broken neck of thigh bone with bone implant	14	14	$2850.00	$1183.59
25600 Closed treatment of broken forearm bones	13	13	$430.00	$302.51
23472 Prosthetic repair of shoulder joint, total shoulder	13	13	$4275.00	$1369.26
29880 Removal of both knee cartilages using an endoscope	12	12	$2211.00	$504.96
23412 Repair of chronic torn shoulder rotator cuff	12	12	$1857.00	$779.78
23130 Removal or repair of collar bone and shoulder blade joint	11	11	$1115.00	$289.08
23120 Partial removal of collar bone	11	11	$1115.00	$276.88
27130 Replacement of thigh bone and hip joint with prosthesis	11	11	$4026.00	$1307.13

Medical Specialties & State Licenses

CMS Verified: 2023-04-11

Orthopaedic Surgery Primary Specialty

NUCC Taxonomy Code: 207X00000X

State License OK 22289

An orthopaedic surgeon is trained in the preservation, investigation and restoration of the form and function of the extremities, spine and associated structures by medical, surgical and physical means. An orthopaedic surgeon is involved with the care of patients whose musculoskeletal problems include congenital deformities, trauma, infections, tumors, metabolic disturbances of the musculoskeletal system, deformities, injuries and degenerative diseases of the spine, hands, feet, knee, hip, shoulder and elbow in children and adults. An orthopaedic surgeon is also concerned with primary and secondary muscular problems and the effects of central or peripheral nervous system lesions of the musculoskeletal system.

Specialist

NUCC Taxonomy Code: 174400000X

State License OK 22289

An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree.

Additional State Medicaid & Healthcare Payer Identifiers

Medicaid State Provider ID

100120050A (OK)

Commercial Insurance / Payer ID Aetna

729525 (OK)

Commercial Insurance / Payer ID Palmetto

0195480001 (OK)

Commercial Insurance / Payer ID Rr Medicare

200041383 (OK)

Hospital & Practice Group Affiliations

Orthopaedic And Sports Medicine Center-Norman Pc

825 E Robinson St, Norman, OK 730716610

Phone: 4053647900

Practice Associates & Co-Workers

Healthcare professionals and specialists practicing at this location or sharing practice phone/fax

19 Associated Practitioners

Natiel Oswald Bauer , PA

Physician Assistant

NPI 1043633910

Physician Assistant

Dr. Mark Moses , MD

Orthopaedic Surgery

NPI 1144228057

Doctor of Medicine (M.D.)

Dr. Heather Coggins , DPT

Physical Therapist

NPI 1154735199

Doctor of Physical Therapy

Chance Hutchens

Physician Assistant

NPI 1194861625

Kelsey Olsen , PA-C

Physician Assistant

NPI 1306383633

Physician Assistant (Certified)

Dr. Eric Porritt , DO

Orthopaedic Surgery

NPI 1386874436

Doctor of Osteopathic Medicine (D.O.)

Career & Practice History Timeline

Chronological log of verified NPI updates, location relocations, credentials, and registry changes

7 Historical Events

📍

Updated Business Mailing Address April 11, 2023

Registered at PO BOX 654354, DALLAS, TX 752654354 (Tel: 4053647900)

✅

NPI Profile Active July 09, 2007

NPI status registered as active in NPPES database

📍

Updated Practice Location July 09, 2007

Registered at 825 E ROBINSON ST, NORMAN, OK 730716610 (Tel: 4053647900)

📍

Updated Business Mailing Address July 09, 2007

Registered at PO BOX 550, NORMAN, OK 730700550 (Tel: 4053647900)

👤

Provider Name / Credentials Updated July 09, 2007

Recorded as DAVID BOBB, M.D

🎓

Medical Taxonomy / Specialty Registered (Primary Specialty) July 09, 2007

Specialist (License #22289 in OK)

🟢

Initial NPI Registration & Enumeration July 14, 2005

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

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NPI Administrative Meta

NPI Number: 1043218829

Entity Type:

Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)

Enumeration Date: July 14, 2005

Last Update: April 11, 2023

Sole Proprietor: No

Update or Correct Profile

Mailing Address

Po Box 654354

Dallas, TX 752654354

Phone: 4053647900

Public Domain Record This profile contains public domain information published by CMS and NPPES under the Freedom of Information Act (FOIA).

⚠️ Medical Disclaimer

This directory listing is for informational purposes only and does not constitute medical advice, diagnosis, or physician endorsement. If you are experiencing a medical emergency, please call 911 immediately.