Organization
BAKER O & P ENTERPRISES
Active
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
Update your record
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