1548404551 NPI number — TEMPLE MERIDIAN LP

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 1548404551 NPI number — TEMPLE MERIDIAN LP

Organization/Personal Information

Employer Identification Number (EIN):
Provider Organization Name:
TEMPLE MERIDIAN LP
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:
6
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:
1548404551
Entity Type Code:
Organization
Replacement NPI:
Last Update Date:
01/05/2015
NPI Deactivation Reason Code:
NPI Deactivation Date:
NPI Reactivation Date:

Provider's Business Mailing Address

Provider First Line Business Mailing Address:
5426 BAY CENTER DR
Provider Second Line Business Mailing Address:
SUITE 600 C/O HBC MANAGER, LLC
Provider Business Mailing Address City Name:
TAMPA
Provider Business Mailing Address State Name:
FL
Provider Business Mailing Address Postal Code:
33609-3444
Provider Business Mailing Address Country Code:
US
Provider Business Mailing Address Telephone Number:
813-287-3947
Provider Business Mailing Address Fax Number:
813-287-3988

Provider's Practice Location Mailing Address

Provider First Line Business Practice Location Address:
4312 S 31ST ST
Provider Second Line Business Practice Location Address:
Provider Business Practice Location Address City Name:
TEMPLE
Provider Business Practice Location Address State Name:
TX
Provider Business Practice Location Address Postal Code:
76502-3313
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
254-771-1236
Provider Business Practice Location Address Fax Number:
Provider Enumeration Date:
04/22/2009

Additional Information

Authorized Official

Authorized Official Last Name:
BEST
Authorized Official First Name:
THILO
Authorized Official Middle Name:
D.
Authorized Official Title or Position:
OFFICER OF MANAGEMENT COMPANY
Authorized Official Telephone Number:
813-287-3941

Provider Taxonomy Codes

  • Taxonomy code: 251E00000X ; information, associated with the NPI states the following Primary Taxonomy Switch: "N" .
  • Taxonomy code: 314000000X ; information, associated with the NPI states the following Primary Taxonomy Switch: "Y" .

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





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