Provider Demographics
NPI:1942883277
Name:CENTRAL TEXAS O&P, LLC
Entity Type:Organization
Organization Name:CENTRAL TEXAS O&P, LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:SARA
Authorized Official - Middle Name:
Authorized Official - Last Name:ASSI
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:713-992-8980
Mailing Address - Street 1:700 S ZARZAMORA ST STE 312
Mailing Address - Street 2:
Mailing Address - City:SAN ANTONIO
Mailing Address - State:TX
Mailing Address - Zip Code:78207-5249
Mailing Address - Country:US
Mailing Address - Phone:210-809-6045
Mailing Address - Fax:
Practice Address - Street 1:700 S ZARZAMORA ST STE 312
Practice Address - Street 2:
Practice Address - City:SAN ANTONIO
Practice Address - State:TX
Practice Address - Zip Code:78207-5249
Practice Address - Country:US
Practice Address - Phone:210-809-6045
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2021-05-04
Last Update Date:2021-05-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes335E00000XSuppliersProsthetic/Orthotic Supplier