1013262369 NPI number — PERIOPERATIVE PRECISION PLLC

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 1013262369 NPI number — PERIOPERATIVE PRECISION PLLC

Organization/Personal Information

Employer Identification Number (EIN):
Provider Organization Name:
PERIOPERATIVE PRECISION PLLC
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:
1013262369
Entity Type Code:
Organization
Replacement NPI:
Last Update Date:
07/23/2012
NPI Deactivation Reason Code:
NPI Deactivation Date:
NPI Reactivation Date:

Provider's Business Mailing Address

Provider First Line Business Mailing Address:
6206 LONDON DR
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:
78745-3459
Provider Business Mailing Address Country Code:
US
Provider Business Mailing Address Telephone Number:
512-751-3405
Provider Business Mailing Address Fax Number:

Provider's Practice Location Mailing Address

Provider First Line Business Practice Location Address:
6206 LONDON DR
Provider Second Line Business Practice Location Address:
Provider Business Practice Location Address City Name:
AUSTIN
Provider Business Practice Location Address State Name:
TX
Provider Business Practice Location Address Postal Code:
78745-3459
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
512-751-3405
Provider Business Practice Location Address Fax Number:
Provider Enumeration Date:
07/23/2012

Additional Information

Authorized Official

Authorized Official Last Name:
VIRR
Authorized Official First Name:
CRAIG
Authorized Official Middle Name:
ANDREW
Authorized Official Title or Position:
OWNER
Authorized Official Telephone Number:
512-751-3405

Provider Taxonomy Codes

  • Taxonomy code: 163WR0006X ; information, associated with the NPI states the following Primary Taxonomy Switch: "Y" .

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





Copyright © 2007-2025 www.npivalidator.com