Healthcare Provider Details

I. General information

NPI: 1730625997
Provider Name (Legal Business Name): BAKER O & P ENTERPRISES, INC.
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 01/12/2017
Last Update Date: 06/10/2026
Certification Date: 06/10/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

5068 W PLANO PKWY STE 310
PLANO TX
75093-4408
US

IV. Provider business mailing address

102 WOODMONT BLVD STE 400
NASHVILLE TN
37205-5217
US

V. Phone/Fax

Practice location:
  • Phone: 214-377-7155
  • Fax:
Mailing address:
  • Phone:
  • 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: BRADFORD GARDNER
Title or Position: DIRECTOR
Credential:
Phone: 615-864-8783