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Organization

BAKER O & P ENTERPRISES

Active
Organization subpart
No

Provider details

NPI number
Authorized official
AARON KRATOHVIL (CONTROLLER)
(615) 550-8760
Entity
Organization

Contact information

Practice address
451 WESTPARK WAY, SUITE 5, EULESS, TX 76040-3703
(817) 355-0001
Mailing address
451 WESTPARK WAY, SUITE 5, EULESS, TX 76040-3703
(817) 355-0001

Taxonomy

Speciality
Code
Description
License number
State
335E00000X
Prosthetic/Orthotic Supplier
Primary
101109
TX

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
508508
BLUECROSSBLUESHIELD
TX
Enumeration date
03/15/2007
Last updated
10/11/2017
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