Provider Demographics
NPI:1013006337
Name:TEAM O & P, INC.
Entity Type:Organization
Organization Name:TEAM O & P, INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:MR
Authorized Official - First Name:SAMUEL
Authorized Official - Middle Name:
Authorized Official - Last Name:CURTIS
Authorized Official - Suffix:III
Authorized Official - Credentials:
Authorized Official - Phone:281-580-1077
Mailing Address - Street 1:395 SAWDUST RD
Mailing Address - Street 2:PMB 2101
Mailing Address - City:THE WOODLANDS
Mailing Address - State:TX
Mailing Address - Zip Code:77380-2242
Mailing Address - Country:US
Mailing Address - Phone:281-580-1077
Mailing Address - Fax:281-580-1120
Practice Address - Street 1:1314 FM 1960 RD W
Practice Address - Street 2:
Practice Address - City:HOUSTON
Practice Address - State:TX
Practice Address - Zip Code:77090-3809
Practice Address - Country:US
Practice Address - Phone:281-580-1077
Practice Address - Fax:281-580-1120
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-10-12
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX101124335E00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes335E00000XSuppliersProsthetic/Orthotic Supplier
Provider Identifiers
StateIdentifier IDID TypeIssuer
TX4789040001Medicare ID - Type Unspecified