MEDICARE: OPA HEALTH HOLDINGS LLC

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	2084P0800X	Psychiatry Physician

General Provider Information

NPI Number	:	1992656557
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	OPA HEALTH HOLDINGS LLC

Provider Business Mailing Address
First Line	:	11500 SPACE CENTER BLVD
Second Line	:
City	:	HOUSTON
State	:	TX
Zip	:	77059-3603
Country	:	US
Telephone Number	:	713-820-7040
Fax Number	:

Provider Business Practice Location Address
First Line	:	11500 SPACE CENTER BLVD
Second Line	:
City	:	HOUSTON
State	:	TX
Zip	:	77059-3603
Country	:	US
Telephone Number	:	713-820-7040
Fax Number	:

Authorized Official
Title or Position	:	INTERIM CEO
Name	:	MR. BOBY GEORGE
Credential	:	RN
Telephone Number	:	713-820-7040

Provider Enumeration Date	:	02/09/2026
Last Update Date	:	02/09/2026

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Directions to “OPA HEALTH HOLDINGS LLC ” Practice Location

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