1598710287 NPI number — METROPLEX RESPIRATORY PLUS PARTNERS,LLP

Table of content: (NPI 1598710287)

General

This information contains only most important part of the NPI data, for complete information, including NPI referencing materials please refer to 1598710287 NPI number — METROPLEX RESPIRATORY PLUS PARTNERS,LLP

Organization/Personal Information

Employer Identification Number (EIN):
Provider Organization Name:
METROPLEX RESPIRATORY PLUS PARTNERS,LLP
Provider Last Name:
Provider First Name:
Provider Middle Name:
Provider Name Prefix Text:
Provider Name Suffix Text:
Provider Credential Text:
Provider Gender Code:

Provider's Other Name Information

Provider Other Organization Name:
RESPIRATORY PLUS
Provider Other Organization Name Type Code:
3
Provider Other Last Name:
Provider Other First Name:
Provider Other Middle Name:
Provider Other Name Prefix Text:
Provider Other Name Suffix Text:
Provider Other Credential Text:
Provider Other Last Name Type Code:

NPI Number Information

NPI Number:
1598710287
Entity Type Code:
Organization
Replacement NPI:
Last Update Date:
12/23/2008
NPI Deactivation Reason Code:
NPI Deactivation Date:
NPI Reactivation Date:

Provider's Business Mailing Address

Provider First Line Business Mailing Address:
3498 SUMMERHILL RD
Provider Second Line Business Mailing Address:
Provider Business Mailing Address City Name:
TEXARKANA
Provider Business Mailing Address State Name:
TX
Provider Business Mailing Address Postal Code:
75503-3560
Provider Business Mailing Address Country Code:
US
Provider Business Mailing Address Telephone Number:
870-772-0202
Provider Business Mailing Address Fax Number:
903-792-5326

Provider's Practice Location Mailing Address

Provider First Line Business Practice Location Address:
1469 W STATE HIGHWAY 114
Provider Second Line Business Practice Location Address:
Provider Business Practice Location Address City Name:
GRAPEVINE
Provider Business Practice Location Address State Name:
TX
Provider Business Practice Location Address Postal Code:
76051-8625
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
817-251-8100
Provider Business Practice Location Address Fax Number:
817-251-8155
Provider Enumeration Date:
05/23/2006

Additional Information

Authorized Official

Authorized Official Last Name:
PARISH
Authorized Official First Name:
WENDELL
Authorized Official Middle Name:
D.
Authorized Official Title or Position:
CO-OWNER
Authorized Official Telephone Number:
870-772-0202

Provider Taxonomy Codes

  • Taxonomy code: 332BX2000X , with the licence number:  0086785 , registered in the state of TX ; information, associated with the NPI states the following Primary Taxonomy Switch: "Y" .

Other Provider's Identifiers (legacy, non-NPI)





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