Baker O & P Enterprises, INC.
Prosthetic/Orthotic Supplier in Tyler, TX. Organization (NPI-2).
NPI number1962013011
StatusActive
Last updated in NPPESAug 12, 2020
Details
- NPI
- 1962013011
- Entity type
- Organization (NPI-2)
- Legal business name
- Baker O & P Enterprises, INC.
- Organization subpart
- No
- Enumeration date
- Aug 12, 2020
- Certification date
- Aug 12, 2020
- Last updated
- Aug 12, 2020
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 335E00000X | Prosthetic/Orthotic Supplier | – | – | Yes |
Practice location
1819 Troup HwyTyler, TX 75701-5870
Phone 903-592-5900
Mailing address
102 Woodmont Blvd Ste 400Nashville, TN 37205-2287
Phone 615-864-8790
Authorized official
Aaron Kratohvil
Vp Of Finance, Controller
6155508760
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