1255346052 NPI number — ADORNO ROGERS TECHNOLOGY

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 1255346052 NPI number — ADORNO ROGERS TECHNOLOGY

Organization/Personal Information

Employer Identification Number (EIN):
Provider Organization Name:
ADORNO ROGERS TECHNOLOGY
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:
1255346052
Entity Type Code:
Organization
Replacement NPI:
Last Update Date:
08/22/2020
NPI Deactivation Reason Code:
NPI Deactivation Date:
NPI Reactivation Date:

Provider's Business Mailing Address

Provider First Line Business Mailing Address:
1807 W BRAKER LN
Provider Second Line Business Mailing Address:
SUITE C500
Provider Business Mailing Address City Name:
AUSTIN
Provider Business Mailing Address State Name:
TX
Provider Business Mailing Address Postal Code:
78758-3607
Provider Business Mailing Address Country Code:
US
Provider Business Mailing Address Telephone Number:
512-474-7267
Provider Business Mailing Address Fax Number:
512-322-9153

Provider's Practice Location Mailing Address

Provider First Line Business Practice Location Address:
4301 WILL ROGERS PKWY
Provider Second Line Business Practice Location Address:
SUITE 900
Provider Business Practice Location Address City Name:
OKLAHOMA CITY
Provider Business Practice Location Address State Name:
OK
Provider Business Practice Location Address Postal Code:
73108-1835
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
405-942-2677
Provider Business Practice Location Address Fax Number:
405-942-2688
Provider Enumeration Date:
07/30/2006

Additional Information

			
		

Authorized Official

Authorized Official Last Name:
ZAMOJSKI
Authorized Official First Name:
DENNIS
Authorized Official Middle Name:
Authorized Official Title or Position:
CHIEF EXECUTIVE OFFICER
Authorized Official Telephone Number:
615-515-2901

Provider Taxonomy Codes

  • Taxonomy code: 332B00000X ; information, associated with the NPI states the following Primary Taxonomy Switch: "Y" .

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