Organization Name: | OPA 1, LTD |
NPI Number: | 1053714931 |
Entity Type Code: | Organizational (2) |
Authorized Official Name: | STEPHEN T. PLANT (OWNER/COO) |
Mailing Address: | 100 Medical Center Blvd Ste 116 Conroe |
State: | TX US |
Postal Code: | 773042888 |
Phone Number: | 9364410334 |
Fax Number: | 9364410336 |
NPI Enumeration Date: | 10/06/2014 |
NPI Last Update Date: | 01/25/2016 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 332BC3200X |
License Number: | 101485 |
Healthcare Provider Taxonomy: (Secondary) | N |
State: | TX |
Taxonomy Type: | Suppliers |
Taxonomy Classification: | Durable Medical Equipment & Medical Supplies |
Taxonomy Specialization: | Customized Equipment |
Taxonomy Definition: |