1689099673 NPI number — HEALTHSCRIPTS OF AMERICA-SOUTHWEST TEXAS, 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 1689099673 NPI number — HEALTHSCRIPTS OF AMERICA-SOUTHWEST TEXAS, LLC

Organization/Personal Information

Employer Identification Number (EIN):
Provider Organization Name:
HEALTHSCRIPTS OF AMERICA-SOUTHWEST TEXAS, 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:
1689099673
Entity Type Code:
Organization
Replacement NPI:
Last Update Date:
02/27/2014
NPI Deactivation Reason Code:
NPI Deactivation Date:
NPI Reactivation Date:

Provider's Business Mailing Address

Provider First Line Business Mailing Address:
6565 WEST LOOP S
Provider Second Line Business Mailing Address:
SUITE 110
Provider Business Mailing Address City Name:
BELLAIRE
Provider Business Mailing Address State Name:
TX
Provider Business Mailing Address Postal Code:
77401-3500
Provider Business Mailing Address Country Code:
US
Provider Business Mailing Address Telephone Number:
832-494-3210
Provider Business Mailing Address Fax Number:
832-494-3218

Provider's Practice Location Mailing Address

Provider First Line Business Practice Location Address:
2803 DULLES AVE
Provider Second Line Business Practice Location Address:
SUITE 2817
Provider Business Practice Location Address City Name:
MISSOURI CITY
Provider Business Practice Location Address State Name:
TX
Provider Business Practice Location Address Postal Code:
77459-2950
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
855-299-3340
Provider Business Practice Location Address Fax Number:
855-894-6409
Provider Enumeration Date:
02/27/2014

Additional Information

Authorized Official

Authorized Official Last Name:
NEZAMI
Authorized Official First Name:
KAMRAN
Authorized Official Middle Name:
Authorized Official Title or Position:
CEO
Authorized Official Telephone Number:
832-494-3210

Provider Taxonomy Codes

  • Taxonomy code: 3336C0003X , with the licence number:  29050 , registered in the state of TX ; information, associated with the NPI states the following Primary Taxonomy Switch: "Y" .

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





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