| Organization Name: | D&P ORTHO LLC |
| NPI Number: | 1114314523 |
| Entity Type Code: | Organizational (2) |
| Authorized Official Name: | DAVID OMID NAVID (OWNER) |
| Mailing Address: | 9201 Pinecroft Dr Ste 295 Shenandoah |
| State: | TX US |
| Postal Code: | 773803222 |
| Phone Number: | 2817463070 |
| Fax Number: | 2819705118 |
| NPI Enumeration Date: | 04/23/2015 |
| NPI Last Update Date: | 12/17/2015 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 363AS0400X |
| License Number: | L6540 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | TX |
| Taxonomy Type: | Physician Assistants & Advanced Practice Nursing Providers |
| Taxonomy Classification: | Physician Assistant |
| Taxonomy Specialization: | Surgical |
| Taxonomy Definition: | |