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Doctors / TX
ORTHOPEDIC SURGERY
Graduated: 2004
Also: SPORTS MEDICINE
NPI: 1558677690
SOUTHLAKE ORTHOPEDICS AND SPORTS MEDICINE PLLC
800 12TH AVE, SUITE 200
FORT WORTH, TX 761042519
2146319881
Source: CMS National Downloadable File, September 2026.