Baker O & P Enterprises, Inc.

NPI #1851012249 in Longview, Texas

Provider Information

NPI Number: 1851012249
Entity Type: Organization
Organization Name: Baker O & P Enterprises, Inc.
Primary Specialty: Prosthetic/Orthotic Supplier
Enumeration Date: Sep 6, 2022
Last Updated: May 30, 2023

Practice Location

Address: 905 WALNUT HILL DR STE A
City: Longview
State: Texas
ZIP Code: 75605-5082
Phone: (903) 213-5960

Authorized Official

Name: BRADFORD GARDNER
Title: COO
Phone: (615) 864-8783

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Prosthetic/Orthotic Supplier	335E00000X	Primary

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MR. Steven Glenn Mccullough, C.O.L.O.	Prosthetic/Orthotic Supplier	Longview	AI Deep Dive
MR. Edgar De La Fuente, LICENSED PROSTHETIST	Prosthetic/Orthotic Supplier	Longview	AI Deep Dive

Organizations

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Prosthetic-Orthotic Associates of East Texas, Inc. Part of Prosthetic-Orthotic Associates of East Texas, Inc.	Prosthetic/Orthotic Supplier	Longview	AI Deep Dive
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