Angela Opry, LMT
Individual provider Active NPI Reflexologist · Conroe, TX
NPI 1659760197 · NPPES record last updated Jan 21, 2015
Key facts
- NPI
- 1659760197
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Reflexologist 173C00000X
- License
- 4644 (TX)
- Practice address
- 900 W Davis St
Suite 101-C
Conroe, TX 77301-2700 - Phone
- (281) 731-8237
- NPI assigned
- Jan 21, 2015
- Sex
- Female
- Sole proprietor
- Yes
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 4644 | TX | MD | Reflexologist |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Reflexologist | 173C00000X | 4644 | TX | Yes |
Addresses
Primary practice location
900 W Davis St
Suite 101-C
Conroe, TX 77301-2700
Mailing address
900 W Davis St
Suite 101-C
Conroe, TX 77301-2700
Phone (281) 731-8237
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 4644 | Other | TX | LICENSED MASSAGE THERAPIST |
Other providers in Conroe, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jan 21, 2015. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.