Dr Opie MD PA

Organization Active NPI Family Medicine Physician · Azle, TX

NPI 1992056931 · NPPES record last updated Nov 17, 2017

Key facts

NPI
1992056931
Entity type
Organization (NPI type 2)
Primary specialty
Family Medicine Physician 207Q00000X
License
K5370 (TX)
Legal business name
DR OPIE MD PA
Practice address
601 Northwest Pkwy Ste C
Azle, TX 76020-2930
Phone
(817) 270-0788
Fax
(817) 752-2176
NPI assigned
Oct 1, 2012
Organization subpart
No

Authorized official

Name
Christopher M Opella, MD
Title
Owner/President
Phone
(817) 270-0788

National Provider Directory

Locations

499 E Highway 199
Springtown, TX 76082
Phone (815) 523-5402

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician
Group: 193400000X SINGLE SPECIALTY GROUP
207Q00000X K5370 TX Yes

Addresses

Primary practice location

601 Northwest Pkwy Ste C
Azle, TX 76020-2930

Mailing address

601 Northwest Pkwy Ste C
Azle, TX 76020-2930
Phone (817) 270-0788

Other identifiers

IdentifierTypeStateIssuer
0040YCOtherTXBCBS

Other providers in Azle, TX

All providers in Azle, TX · Family Medicine Physician in Texas

Sources for this page

Verify at the official NPI Registry.