Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 207X00000X | Orthopaedic Surgeon | P8710 | TX |
Y | 207XX0004X | Foot and Ankle Orthopaedic Surgeon | P8710 | TX |
NPI | 1649241696 |
---|---|
Provider Name | Dr. Justin Dennis Orr |
First Address | El Paso, TX 79905-1613 |
Second Address | El Paso, TX 79905-2707 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 29/01/2006 |
Last Update Date | 14/01/2020 |