1063125862 NPI number — SCALLAN COORDINATED CARE SERVICES LLC

Table of Contents

General

This information contains only most important part of the NPI data, for complete information, including NPI referencing materials please refer to 1063125862 NPI number — SCALLAN COORDINATED CARE SERVICES LLC

Organization/Personal Information

Employer Identification Number (EIN):
Provider Organization Name:
SCALLAN COORDINATED CARE SERVICES LLC
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:
Provider Other Organization Name Type Code:
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:
1063125862
Entity Type Code:
Organization
Replacement NPI:
Last Update Date:
02/11/2023
NPI Deactivation Reason Code:
NPI Deactivation Date:
NPI Reactivation Date:

Provider's Business Mailing Address

Provider First Line Business Mailing Address:
19003 RELAY RD
Provider Second Line Business Mailing Address:
Provider Business Mailing Address City Name:
ATASCOCITA
Provider Business Mailing Address State Name:
TX
Provider Business Mailing Address Postal Code:
77346-6061
Provider Business Mailing Address Country Code:
US
Provider Business Mailing Address Telephone Number:
832-909-2440
Provider Business Mailing Address Fax Number:

Provider's Practice Location Mailing Address

Provider First Line Business Practice Location Address:
2330 TIMBER SHADOWS DR STE 100
Provider Second Line Business Practice Location Address:
Provider Business Practice Location Address City Name:
KINGWOOD
Provider Business Practice Location Address State Name:
TX
Provider Business Practice Location Address Postal Code:
77339-2675
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
832-909-2440
Provider Business Practice Location Address Fax Number:
Provider Enumeration Date:
12/27/2022

Additional Information

Authorized Official

Authorized Official Last Name:
SCALLAN
Authorized Official First Name:
TRAVIS
Authorized Official Middle Name:
RAY
Authorized Official Title or Position:
OWNER
Authorized Official Telephone Number:
832-909-2440

Provider Taxonomy Codes

  • Taxonomy code: 253Z00000X ; information, associated with the NPI states the following Primary Taxonomy Switch: "Y" .

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





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