Provider Demographics
NPI:1558134890
Name:OPC2 HOUSTON, LLC
Entity Type:Organization
Organization Name:OPC2 HOUSTON, LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CEO/OWNER
Authorized Official - Prefix:DR
Authorized Official - First Name:NOA
Authorized Official - Middle Name:
Authorized Official - Last Name:YIZHARI
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:713-385-1914
Mailing Address - Street 1:5233 BELLAIRE BLVD # 278
Mailing Address - Street 2:
Mailing Address - City:BELLAIRE
Mailing Address - State:TX
Mailing Address - Zip Code:77401-3901
Mailing Address - Country:US
Mailing Address - Phone:
Mailing Address - Fax:
Practice Address - Street 1:7676 HILLMONT ST STE 375
Practice Address - Street 2:
Practice Address - City:HOUSTON
Practice Address - State:TX
Practice Address - Zip Code:77040-6481
Practice Address - Country:US
Practice Address - Phone:713-385-1914
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2023-10-30
Last Update Date:2023-10-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QR0405XAmbulatory Health Care FacilitiesClinic/CenterRehabilitation, Substance Use Disorder