1689298713 NPI number — NPS HEALTH LLC

Table of content: (NPI 1689298713)

General

This information contains only most important part of the NPI data, for complete information, including NPI referencing materials please refer to 1689298713 NPI number — NPS HEALTH LLC

Organization/Personal Information

Employer Identification Number (EIN):
Provider Organization Name:
NPS HEALTH 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:
1689298713
Entity Type Code:
Organization
Replacement NPI:
Last Update Date:
06/04/2020
NPI Deactivation Reason Code:
NPI Deactivation Date:
NPI Reactivation Date:

Provider's Business Mailing Address

Provider First Line Business Mailing Address:
438 RICHLAND HILLS DR APT 8103
Provider Second Line Business Mailing Address:
Provider Business Mailing Address City Name:
SAN ANTONIO
Provider Business Mailing Address State Name:
TX
Provider Business Mailing Address Postal Code:
78245-3875
Provider Business Mailing Address Country Code:
US
Provider Business Mailing Address Telephone Number:
917-743-3671
Provider Business Mailing Address Fax Number:

Provider's Practice Location Mailing Address

Provider First Line Business Practice Location Address:
9014 N STATE HIGHWAY 16
Provider Second Line Business Practice Location Address:
Provider Business Practice Location Address City Name:
POTEET
Provider Business Practice Location Address State Name:
TX
Provider Business Practice Location Address Postal Code:
78065-4001
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
830-276-0299
Provider Business Practice Location Address Fax Number:
972-905-7927
Provider Enumeration Date:
06/04/2020

Additional Information

			
		

Authorized Official

Authorized Official Last Name:
BANGLA
Authorized Official First Name:
NARENDER
Authorized Official Middle Name:
Authorized Official Title or Position:
OFFICER/OWNER
Authorized Official Telephone Number:
917-743-3671

Provider Taxonomy Codes

  • Taxonomy code: 3336C0003X ; information, associated with the NPI states the following Primary Taxonomy Switch: "Y" .

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