1972832053 NPI number — KCJZ LLC

Table of content: (NPI 1972832053)

General

This information contains only most important part of the NPI data, for complete information, including NPI referencing materials please refer to 1972832053 NPI number — KCJZ LLC

Organization/Personal Information

Employer Identification Number (EIN):
Provider Organization Name:
KCJZ 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:
LA MICHOACANA MEDICAL CLINIC
Provider Other Organization Name Type Code:
3
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:
1972832053
Entity Type Code:
Organization
Replacement NPI:
Last Update Date:
12/18/2009
NPI Deactivation Reason Code:
NPI Deactivation Date:
NPI Reactivation Date:

Provider's Business Mailing Address

Provider First Line Business Mailing Address:
8443 AIRLINE DR
Provider Second Line Business Mailing Address:
SUITE B
Provider Business Mailing Address City Name:
HOUSTON
Provider Business Mailing Address State Name:
TX
Provider Business Mailing Address Postal Code:
77037-3213
Provider Business Mailing Address Country Code:
US
Provider Business Mailing Address Telephone Number:
832-379-2900
Provider Business Mailing Address Fax Number:
832-379-2920

Provider's Practice Location Mailing Address

Provider First Line Business Practice Location Address:
8443 AIRLINE DR
Provider Second Line Business Practice Location Address:
SUITE B
Provider Business Practice Location Address City Name:
HOUSTON
Provider Business Practice Location Address State Name:
TX
Provider Business Practice Location Address Postal Code:
77037-3213
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
832-379-2900
Provider Business Practice Location Address Fax Number:
832-379-2920
Provider Enumeration Date:
12/18/2009

Additional Information

Authorized Official

Authorized Official Last Name:
CERVANTES
Authorized Official First Name:
KARLA
Authorized Official Middle Name:
IVONNE
Authorized Official Title or Position:
ADMINISTRATOR
Authorized Official Telephone Number:
832-379-2900

Provider Taxonomy Codes

  • Taxonomy code: 261Q00000X ; information, associated with the NPI states the following Primary Taxonomy Switch: "Y" .
  • Taxonomy code: 261QP2300X ; information, associated with the NPI states the following Primary Taxonomy Switch: "N" .
  • Taxonomy code: 261QU0200X ; information, associated with the NPI states the following Primary Taxonomy Switch: "N" .

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





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