Provider Demographics
NPI:1114173309
Name:ORTHO 6, LP
Entity Type:Organization
Organization Name:ORTHO 6, LP
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:ADMINISTRATOR
Authorized Official - Prefix:MR
Authorized Official - First Name:KEVIN
Authorized Official - Middle Name:DUANE
Authorized Official - Last Name:HOLYFIELD
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:713-660-8801
Mailing Address - Street 1:11201 RICHMOND AVE # A-106
Mailing Address - Street 2:
Mailing Address - City:HOUSTON
Mailing Address - State:TX
Mailing Address - Zip Code:77082-6653
Mailing Address - Country:US
Mailing Address - Phone:281-598-6200
Mailing Address - Fax:281-598-6201
Practice Address - Street 1:850 FM 1960 RD W STE H
Practice Address - Street 2:
Practice Address - City:HOUSTON
Practice Address - State:TX
Practice Address - Zip Code:77090-3413
Practice Address - Country:US
Practice Address - Phone:281-444-4713
Practice Address - Fax:281-444-6366
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2008-08-07
Last Update Date:2008-08-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes335E00000XSuppliersProsthetic/Orthotic Supplier