Provider Demographics
NPI:1164251161
Name:ONE OPUS INTERNATIONAL LLC
Entity type:Organization
Organization Name:ONE OPUS INTERNATIONAL LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:MANAGING DIRECTOR
Authorized Official - Prefix:
Authorized Official - First Name:FAZLIQ
Authorized Official - Middle Name:
Authorized Official - Last Name:KADER
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:949-304-8899
Mailing Address - Street 1:2601 STATE HWY 121 UNIT 212
Mailing Address - Street 2:
Mailing Address - City:LEWISVILLE
Mailing Address - State:TX
Mailing Address - Zip Code:75056-7087
Mailing Address - Country:US
Mailing Address - Phone:214-845-6149
Mailing Address - Fax:
Practice Address - Street 1:2601 STATE HWY 121 UNIT 212
Practice Address - Street 2:
Practice Address - City:LEWISVILLE
Practice Address - State:TX
Practice Address - Zip Code:75056-7087
Practice Address - Country:US
Practice Address - Phone:214-845-6149
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2024-07-29
Last Update Date:2024-08-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes305S00000XManaged Care OrganizationsPoint of Service