Provider Demographics
NPI:1053653550
Name:BEST ORTHOPEDIC SPECIALTY SERVICES
Entity Type:Organization
Organization Name:BEST ORTHOPEDIC SPECIALTY SERVICES
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:MR
Authorized Official - First Name:EDGAR
Authorized Official - Middle Name:
Authorized Official - Last Name:FRAGOSO
Authorized Official - Suffix:
Authorized Official - Credentials:LSA, OPA-C
Authorized Official - Phone:210-859-5438
Mailing Address - Street 1:PO BOX 667090
Mailing Address - Street 2:
Mailing Address - City:HOUSTON
Mailing Address - State:TX
Mailing Address - Zip Code:77266-7090
Mailing Address - Country:US
Mailing Address - Phone:210-859-5438
Mailing Address - Fax:
Practice Address - Street 1:1300 CASTLE CT
Practice Address - Street 2:
Practice Address - City:HOUSTON
Practice Address - State:TX
Practice Address - Zip Code:77006-5702
Practice Address - Country:US
Practice Address - Phone:210-859-5438
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2013-03-22
Last Update Date:2013-03-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX1001051332B00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes332B00000XSuppliersDurable Medical Equipment & Medical Supplies