Healthcare Provider Details

I. General information

NPI: 1356891931
Provider Name (Legal Business Name): OP OPERATIONS III, LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 10/07/2016
Last Update Date: 02/28/2018
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1201 CLARKS DRIVE
ABILENE TX
79602
US

IV. Provider business mailing address

5830 GRANITE PKWY STE 800
PLANO TX
75024-6775
US

V. Phone/Fax

Practice location:
  • Phone: 325-670-9185
  • Fax:
Mailing address:
  • Phone: 972-976-2934
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code314000000X
TaxonomySkilled Nursing Facility
License Number
License Number StateTX

VIII. Authorized Official

Name: HORACE WINCHESTER
Title or Position: MANAGER
Credential:
Phone: 505-262-5710