MEDICARE: TEAM O & P, INC.

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	335E00000X	Prosthetic/Orthotic Supplier	101124	TX

General Provider Information

NPI Number	:	1013006337
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	TEAM O & P, INC.

Provider Business Mailing Address
First Line	:	395 SAWDUST RD
Second Line	:	PMB 2101
City	:	THE WOODLANDS
State	:	TX
Zip	:	77380-2242
Country	:	US
Telephone Number	:	281-580-1077
Fax Number	:	281-580-1120

Provider Business Practice Location Address
First Line	:	1314 FM 1960 RD W
Second Line	:
City	:	HOUSTON
State	:	TX
Zip	:	77090-3809
Country	:	US
Telephone Number	:	281-580-1077
Fax Number	:	281-580-1120

Authorized Official
Title or Position	:	OWNER
Name	:	MR. SAMUEL CURTIS III
Credential	:
Telephone Number	:	281-580-1077

Provider Enumeration Date	:	10/12/2006
Last Update Date	:	08/22/2020

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