Provider Demographics
NPI:1114314523
Name:D&P ORTHO LLC
Entity Type:Organization
Organization Name:D&P ORTHO LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:DAVID
Authorized Official - Middle Name:OMID
Authorized Official - Last Name:NAVID
Authorized Official - Suffix:
Authorized Official - Credentials:DO
Authorized Official - Phone:281-746-3070
Mailing Address - Street 1:PO BOX 9969
Mailing Address - Street 2:
Mailing Address - City:THE WOODLANDS
Mailing Address - State:TX
Mailing Address - Zip Code:77387-6969
Mailing Address - Country:US
Mailing Address - Phone:281-746-3070
Mailing Address - Fax:281-970-5118
Practice Address - Street 1:9201 PINECROFT DR STE 295
Practice Address - Street 2:
Practice Address - City:SHENANDOAH
Practice Address - State:TX
Practice Address - Zip Code:77380-3222
Practice Address - Country:US
Practice Address - Phone:281-746-3070
Practice Address - Fax:281-970-5118
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2015-04-23
Last Update Date:2015-12-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TXL6540363AS0400X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes363AS0400XPhysician Assistants & Advanced Practice Nursing ProvidersPhysician AssistantSurgicalGroup - Multi-Specialty