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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) 660-8801
Entity
Organization

Contact information

Practice address
627 WINNIE ST, GALVESTON, TX 77550-5231
(409) 765-5300
(409) 765-6224
Mailing address
7301 FANNIN ST STE B, HOUSTON, TX 77030-4807
(713) 797-0011
(713) 797-0010

Taxonomy

Speciality
Code
Description
License number
State
335E00000X
Prosthetic/Orthotic Supplier
Primary
101102
TX

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
101102
STATE LICENSE
TX
Enumeration date
10/23/2006
Last updated
03/13/2008
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