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General NPI Number Information
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NPI Number | 1114173309
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Entity Type | Organization
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Legal Business Name | ORTHO 6, LP
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Dates
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Enumeration Date | 08/07/2008
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Last Update Date | 08/07/2008
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Provider Practice Location Address
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Address Line | 850 FM 1960 RD W STE H
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City | HOUSTON
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State | TX
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Zip | 77090-3413
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Country | US
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Telephone | 281-444-4713
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Fax | 281-444-6366
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Provider Business Mailing Address
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Address Line | 11201 RICHMOND AVE # A-106
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City | HOUSTON
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State | TX
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Zip | 77082-6653
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Country | US
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Telephone | 281-598-6200
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Fax | 281-598-6201
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Authorized Official
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Title or Position | ADMINISTRATOR
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Name | MR. KEVIN DUANE HOLYFIELD
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Credential |
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Telephone | 713-660-8801
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 335E00000X
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Taxonomy Name | Prosthetic/Orthotic Supplier
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License Number |
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License Number State |
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