Provider Demographics
NPI:1225159551
Name:PARIS O & P, INC.
Entity Type:Organization
Organization Name:PARIS O & P, INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER-PRESIDENT
Authorized Official - Prefix:MR
Authorized Official - First Name:GARY
Authorized Official - Middle Name:L
Authorized Official - Last Name:RIFFLE
Authorized Official - Suffix:
Authorized Official - Credentials:LPO, CPO
Authorized Official - Phone:903-785-8922
Mailing Address - Street 1:2619 NE LOOP 286, STE A
Mailing Address - Street 2:
Mailing Address - City:PARIS
Mailing Address - State:TX
Mailing Address - Zip Code:75460-3452
Mailing Address - Country:US
Mailing Address - Phone:903-785-8922
Mailing Address - Fax:903-785-7496
Practice Address - Street 1:2619 NE LOOP 286 STE A
Practice Address - Street 2:
Practice Address - City:PARIS
Practice Address - State:TX
Practice Address - Zip Code:75460-3452
Practice Address - Country:US
Practice Address - Phone:903-785-8922
Practice Address - Fax:903-785-7496
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-04-03
Last Update Date:2007-08-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX101177335E00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes335E00000XSuppliersProsthetic/Orthotic Supplier
Provider Identifiers
StateIdentifier IDID TypeIssuer
TX5654130OtherAETNA
TX519709OtherBLUE CROSS BLUE SHIELD
0967890001Medicare ID - Type UnspecifiedMEDICARE PROVIDER