Healthcare Provider Details

I. General information

NPI: 1134846165
Provider Name (Legal Business Name): OPS MEDICAL GROUP LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 10/20/2022
Last Update Date: 04/09/2024
Certification Date: 04/09/2024
Deactivation Date:
Reactivation Date:

III. Provider practice location address

462 WILDFLOWER DR
LYTLE TX
78052-3955
US

IV. Provider business mailing address

462 WILDFLOWER DR
LYTLE TX
78052-3955
US

V. Phone/Fax

Practice location:
  • Phone: 726-800-9802
  • Fax: 833-505-2044
Mailing address:
  • Phone: 726-800-9802
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code251J00000X
TaxonomyNursing Care Agency
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code261QU0200X
TaxonomyUrgent Care Clinic/Center
License Number
License Number State
# 3
Primary TaxonomyY
Taxonomy Code207Q00000X
TaxonomyFamily Medicine Physician
License Number
License Number State

VIII. Authorized Official

Name: CRAIG ANTHONY MARSHALL
Title or Position: PRESIDENT
Credential: NP
Phone: 210-396-2732