1225405269 NPI number — MRS. THE NHIEN LETTUNICH

Table of content: MRS. THE NHIEN LETTUNICH (NPI 1225405269)

General

This information contains only most important part of the NPI data, for complete information, including NPI referencing materials please refer to 1225405269 NPI number — MRS. THE NHIEN LETTUNICH

Organization/Personal Information

Employer Identification Number (EIN):
Provider Organization Name:
Provider Last Name:
LETTUNICH
Provider First Name:
THE
Provider Middle Name:
NHIEN
Provider Name Prefix Text:
MRS.
Provider Name Suffix Text:
Provider Credential Text:
Provider Gender Code:
F

Provider's Other Name Information

Provider Other Organization Name:
Provider Other Organization Name Type Code:
Provider Other Last Name:
NGUYEN
Provider Other First Name:
THE
Provider Other Middle Name:
NHIEN
Provider Other Name Prefix Text:
MRS.
Provider Other Name Suffix Text:
Provider Other Credential Text:
Provider Other Last Name Type Code:
1

NPI Number Information

NPI Number:
1225405269
Entity Type Code:
Individual
Replacement NPI:
Last Update Date:
01/04/2023
NPI Deactivation Reason Code:
NPI Deactivation Date:
NPI Reactivation Date:

Provider's Business Mailing Address

Provider First Line Business Mailing Address:
P.O. BOX 2296
Provider Second Line Business Mailing Address:
Provider Business Mailing Address City Name:
FABENS
Provider Business Mailing Address State Name:
TX
Provider Business Mailing Address Postal Code:
79838-2296
Provider Business Mailing Address Country Code:
US
Provider Business Mailing Address Telephone Number:
915-765-9016
Provider Business Mailing Address Fax Number:

Provider's Practice Location Mailing Address

Provider First Line Business Practice Location Address:
FABENS ISD SPECIAL EDUCATION
Provider Second Line Business Practice Location Address:
603 NE CAMP ST.
Provider Business Practice Location Address City Name:
FABENS
Provider Business Practice Location Address State Name:
TX
Provider Business Practice Location Address Postal Code:
79838
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
915-765-2690
Provider Business Practice Location Address Fax Number:
915-765-3744
Provider Enumeration Date:
08/25/2015

Additional Information

			
		

Authorized Official

Authorized Official Last Name:
Authorized Official First Name:
Authorized Official Middle Name:
Authorized Official Title or Position:
Authorized Official Telephone Number:

Provider Taxonomy Codes

  • Taxonomy code: 235Z00000X , with the licence number:  C-5818 , registered in the state of NM ; information, associated with the NPI states the following Primary Taxonomy Switch: "Y" .

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