Healthcare Provider Details

I. General information

NPI: 1780341065
Provider Name (Legal Business Name): BAKER O & P ENTERPRISES, INC.
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 11/22/2021
Last Update Date: 11/22/2021
Certification Date: 11/22/2021
Deactivation Date:
Reactivation Date:

III. Provider practice location address

519 BRYAN ST
DENTON TX
76201-2705
US

IV. Provider business mailing address

102 WOODMONT BLVD STE 120
NASHVILLE TN
37205-5249
US

V. Phone/Fax

Practice location:
  • Phone: 940-800-2990
  • Fax:
Mailing address:
  • Phone: 615-864-8790
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code335E00000X
TaxonomyProsthetic/Orthotic Supplier
License Number
License Number State

VIII. Authorized Official

Name: AARON KRATOHVIL
Title or Position: VP OF FINANCE, CONTROLLER
Credential:
Phone: 615-550-8760