1629275458 NPI number — RJ HALL MANAGEMENT INC

Table of content: (NPI 1629275458)

General

This information contains only most important part of the NPI data, for complete information, including NPI referencing materials please refer to 1629275458 NPI number — RJ HALL MANAGEMENT INC

Organization/Personal Information

Employer Identification Number (EIN):
Provider Organization Name:
RJ HALL MANAGEMENT INC
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:
BRIGHTSTAR HEALTHCARE
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:
1629275458
Entity Type Code:
Organization
Replacement NPI:
Last Update Date:
01/17/2013
NPI Deactivation Reason Code:
NPI Deactivation Date:
NPI Reactivation Date:

Provider's Business Mailing Address

Provider First Line Business Mailing Address:
8505 TECHNOLOGY FOREST PL
Provider Second Line Business Mailing Address:
SUITE 502
Provider Business Mailing Address City Name:
THE WOODLANDS
Provider Business Mailing Address State Name:
TX
Provider Business Mailing Address Postal Code:
77381-1000
Provider Business Mailing Address Country Code:
US
Provider Business Mailing Address Telephone Number:
281-367-7827
Provider Business Mailing Address Fax Number:
281-367-7837

Provider's Practice Location Mailing Address

Provider First Line Business Practice Location Address:
8505 TECHNOLOGY FOREST PL
Provider Second Line Business Practice Location Address:
SUITE 502
Provider Business Practice Location Address City Name:
THE WOODLANDS
Provider Business Practice Location Address State Name:
TX
Provider Business Practice Location Address Postal Code:
77381-1000
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
281-367-7827
Provider Business Practice Location Address Fax Number:
281-367-7837
Provider Enumeration Date:
06/27/2007

Additional Information

			
		

Authorized Official

Authorized Official Last Name:
HALL
Authorized Official First Name:
RICHARD
Authorized Official Middle Name:
JOSEPH
Authorized Official Title or Position:
OWNER
Authorized Official Telephone Number:
281-367-7827

Provider Taxonomy Codes

  • Taxonomy code: 251E00000X , with the licence number:  011365 , 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)