Healthcare Provider Details

I. General information

NPI: 1477483691
Provider Name (Legal Business Name): OP SERVICES LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 05/20/2026
Last Update Date: 05/20/2026
Certification Date: 05/20/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

4455 CAMP BOWIE BLVD # 114-67
FT WORTH TX
76107-3826
US

IV. Provider business mailing address

4455 CAMP BOWIE BLVD # 114-67
FT WORTH TX
76107-3826
US

V. Phone/Fax

Practice location:
  • Phone: 817-529-8488
  • Fax: 903-328-6568
Mailing address:
  • Phone: 817-529-8488
  • Fax: 903-328-6568

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code246ZE0600X
TaxonomyElectroneurodiagnostic Specialist/Technologist
License Number
License Number State

VIII. Authorized Official

Name: GINA SULLIVAN
Title or Position: PRACTICE ADMINISTRATOR
Credential:
Phone: 903-259-0550