1619334588 NPI number — BRUISED APPLES MENTORING PROGRAM

Table of content: (NPI 1619334588)

General

This information contains only most important part of the NPI data, for complete information, including NPI referencing materials please refer to 1619334588 NPI number — BRUISED APPLES MENTORING PROGRAM

Organization/Personal Information

Employer Identification Number (EIN):
Provider Organization Name:
BRUISED APPLES MENTORING PROGRAM
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:
1619334588
Entity Type Code:
Organization
Replacement NPI:
Last Update Date:
01/24/2016
NPI Deactivation Reason Code:
NPI Deactivation Date:
NPI Reactivation Date:

Provider's Business Mailing Address

Provider First Line Business Mailing Address:
PO BOX 152292
Provider Second Line Business Mailing Address:
Provider Business Mailing Address City Name:
AUSTIN
Provider Business Mailing Address State Name:
TX
Provider Business Mailing Address Postal Code:
78715-2292
Provider Business Mailing Address Country Code:
US
Provider Business Mailing Address Telephone Number:
832-512-0355
Provider Business Mailing Address Fax Number:

Provider's Practice Location Mailing Address

Provider First Line Business Practice Location Address:
2101 E BEN WHITE BLVD
Provider Second Line Business Practice Location Address:
BUILDING 8, SUITE 800
Provider Business Practice Location Address City Name:
AUSTIN
Provider Business Practice Location Address State Name:
TX
Provider Business Practice Location Address Postal Code:
78741-6922
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
832-512-0355
Provider Business Practice Location Address Fax Number:
Provider Enumeration Date:
01/24/2016

Additional Information

Authorized Official

Authorized Official Last Name:
ELLERBE
Authorized Official First Name:
DONALD
Authorized Official Middle Name:
CRAIG
Authorized Official Title or Position:
CHIEF EXECUTIVE OFFICER
Authorized Official Telephone Number:
832-512-0355

Provider Taxonomy Codes

  • Taxonomy code: 101YA0400X ; information, associated with the NPI states the following Primary Taxonomy Switch: "Y" .

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





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