1700653938 NPI number — SPEECH ON THE BUS 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 1700653938 NPI number — SPEECH ON THE BUS LLC

Organization/Personal Information

Employer Identification Number (EIN):
Provider Organization Name:
SPEECH ON THE BUS 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:
1700653938
Entity Type Code:
Organization
Replacement NPI:
Last Update Date:
05/06/2024
NPI Deactivation Reason Code:
NPI Deactivation Date:
NPI Reactivation Date:

Provider's Business Mailing Address

Provider First Line Business Mailing Address:
3050 POST OAK BLVD STE 510
Provider Second Line Business Mailing Address:
Provider Business Mailing Address City Name:
HOUSTON
Provider Business Mailing Address State Name:
TX
Provider Business Mailing Address Postal Code:
77056-6512
Provider Business Mailing Address Country Code:
US
Provider Business Mailing Address Telephone Number:
713-429-8036
Provider Business Mailing Address Fax Number:
713-429-8037

Provider's Practice Location Mailing Address

Provider First Line Business Practice Location Address:
10333 HARWIN DR STE 412
Provider Second Line Business Practice Location Address:
Provider Business Practice Location Address City Name:
HOUSTON
Provider Business Practice Location Address State Name:
TX
Provider Business Practice Location Address Postal Code:
77036-1532
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
713-429-8036
Provider Business Practice Location Address Fax Number:
812-845-7690
Provider Enumeration Date:
12/07/2023

Additional Information

			
		

Authorized Official

Authorized Official Last Name:
BARNETT
Authorized Official First Name:
VENIECE
Authorized Official Middle Name:
Authorized Official Title or Position:
OWNER/FOUNDER
Authorized Official Telephone Number:
713-429-8036

Provider Taxonomy Codes

  • Taxonomy code: 235Z00000X ; information, associated with the NPI states the following Primary Taxonomy Switch: "Y" .

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