Organization
OPA 1, LTD
Active
Organization
OPA 1, LTD
Active
Other names
ORTHOTIC & PROSTHETIC ASSOCIATES
Organization subpart
No
Provider details
NPI number
Authorized official
MR. KEVIN D HOLYFIELD (ADMINISTRATOR)
(713) 797-0011
Entity
Organization
Contact information
Practice address
850 FM 1960 RD W STE H, HOUSTON, TX 77090-3413
(281) 444-3335
(281) 444-6366
Mailing address
7301 FANNIN ST STE B, HOUSTON, TX 77030-4807
(713) 797-0011
(713) 797-0010
Taxonomy
Speciality
Code
Description
License number
State
332BC3200X
Customized Equipment (DME)
—
—
335E00000X
Prosthetic/Orthotic Supplier
Primary
101215
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
101215
STATE LICENSE
TX
Enumeration date
10/23/2006
Last updated
07/16/2008
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