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Virgil B Medlock

Orthopaedic Surgeon Orthopaedic Hand Surgeon Orthopaedic Trauma Surgeon Sports Medicine Orthopaedic Surgeon and 1 more

3900 Junius St Suite 500
Dallas , Texas 75246-1615

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About


Features

Language(s) Spoken
English
Ethnic Identity
White / Caucasian

Specialties

  • Orthopaedic Surgeon
  • Orthopaedic Hand Surgeon
  • Adult Reconstructive Orthopaedic Surgeon
  • Sports Medicine Orthopaedic Surgeon
  • Orthopaedic Trauma Surgeon

Languages spoken

  • English

Location

3900 Junius St Suite 500 Dallas , Texas 75246-1615

First Address

  • Virgil B Medlock
  • Po Box 650500
  • Dallas, TX
  • Zip : 75265-0500
  • Fax : (214) 369-2683
  • Phone : (214) 369-8555

Second Address

  • Virgil B Medlock
  • 3900 Junius St Suite 500
  • Dallas, TX
  • Zip : 75246-1615
  • Fax : (214) 823-1644
  • Phone : (214) 823-7090

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FAQs


Where did Virgil B Medlock attend graduate school?

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Where did Virgil B Medlock do his residency?

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Where did Virgil B Medlock do his fellowship?

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Is Virgil B Medlock board certified?

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What type of doctor is Virgil B Medlock

Orthopaedic Surgeon

In what state does Virgil B Medlock practice in?

Texas

Where is Virgil B Medlock ’s practice located?

3900 Junius St Suite 500 , Dallas, Texas, 75246-1615

What is Virgil B Medlock ’s gender?

Male

Is Virgil B Medlock a sole practitioner?

No

Is Virgil B Medlock accepting new patients?

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What languages does Virgil B Medlock speak?

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Does Virgil B Medlock accept insurance?

Yes, Virgil B Medlock accepts insurance

Does Virgil B Medlock offers telemedicine?

Virgil B Medlock has not indicated if he offers telemedicine

What is Virgil B Medlock ’s professional license number?

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What is Virgil B Medlock ’s NPI number?

1083604458

Does Virgil B Medlock have any license restrictions?

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Scope of Practice

Primary Taxonomy Code Taxonomy Specialty License Number License State
Y 207X00000X Orthopaedic Surgeon K3615 TX
N 207XS0106X Orthopaedic Hand Surgeon K3615 TX
N 207XS0114X Adult Reconstructive Orthopaedic Surgeon K3615 TX
N 207XX0005X Sports Medicine Orthopaedic Surgeon K3615 TX
N 207XX0801X Orthopaedic Trauma Surgeon K3615 TX

National Provider Identifier

NPI 1083604458
Provider Name Virgil B Medlock
First Address Dallas, TX 75265-0500
Second Address Dallas, TX 75246-1615
Gender M
NPI Entity type Individual
Is Sole Proprietor No
Is Organization Subpart N/A
Enumeration Date 26/10/2005
Last Update Date 28/09/2012

Additional Identifiers

IDENTIFIER TYPE / CODE IDENTIFIER STATE
152255901 (05) TX
152255902 (05) TX
152255903 (05) TX
8A5019 BCBS (01) TX
H21612 (02)

NPI Footnotes


What is the National Provider Identifier (NPI)

The NPI is 10-position all-numeric identification number assigned by the NPPES to uniquely identify a health care provider.

Provider Location Address

The location address of the provider being identified. For providers with more than one physical location, this is the primary location. This address cannot include a Post Office box.

Provider Mailing Address

The mailing address of the provider being identified. This address may contain the same information as the provider location address.

Entity Type Code

The code describing the type of health care provider that is being assigned an NPI. The entity type codes are:
1= Person: individual human being who furnishes health care;
2= Non-person: entity other than an individual human being that furnishes health care (Examples: hospital, SNF, hospital subunit, pharmacy, or HMO)

What is a Subpart?

Subparts are the components and separate physical locations of organization health care providers. Subpart examples include: Hospital components include outpatient departments, surgical centers, psychiatric units, and laboratories. These components are often separately licensed or certified by States and may exist at physical locations other than that of the hospital of which they are a component.

Provider Other Organization Name

The other organization name is the alternative last name by which the provider is or has been known (if an individual) or other name by which the organization provider is or has been known. The code identifying the type of other name. The provider other organization name codes are:
1 = former name;
2 = professional name;
3 = doinq business as (d/b/ a) name;
4 = former legal business name;
5 = other.

Provider Enumeration Date

The date the provider was assigned a unique identifier (assigned an NPI)

Last Update Date

The date that a NPI record was last updated or changed

Primary Taxonomy Code

The primary taxonomy code defines the provider type, classification, and specialization. There could be only one primary taxonomy code per NPI record. For individual NPls the license data is associated to the taxonomy code.

Authorized Official Name

The name of the person authorized to submit the PI application or to officially change data for a health care provider.

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