1255346052 NPI number — ADORNO ROGERS TECHNOLOGY

Table of content: (NPI 1255346052)

General

This information contains only most important part of the NPI data, for complete information, including NPI referencing materials please refer to 1255346052 NPI number — ADORNO ROGERS TECHNOLOGY

Organization/Personal Information

Employer Identification Number (EIN):
Provider Organization Name:
ADORNO ROGERS TECHNOLOGY
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:
1255346052
Entity Type Code:
Organization
Replacement NPI:
Last Update Date:
08/22/2020
NPI Deactivation Reason Code:
NPI Deactivation Date:
NPI Reactivation Date:

Provider's Business Mailing Address

Provider First Line Business Mailing Address:
1807 W BRAKER LN
Provider Second Line Business Mailing Address:
SUITE C500
Provider Business Mailing Address City Name:
AUSTIN
Provider Business Mailing Address State Name:
TX
Provider Business Mailing Address Postal Code:
78758-3607
Provider Business Mailing Address Country Code:
US
Provider Business Mailing Address Telephone Number:
512-474-7267
Provider Business Mailing Address Fax Number:
512-322-9153

Provider's Practice Location Mailing Address

Provider First Line Business Practice Location Address:
4301 WILL ROGERS PKWY
Provider Second Line Business Practice Location Address:
SUITE 900
Provider Business Practice Location Address City Name:
OKLAHOMA CITY
Provider Business Practice Location Address State Name:
OK
Provider Business Practice Location Address Postal Code:
73108-1835
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
405-942-2677
Provider Business Practice Location Address Fax Number:
405-942-2688
Provider Enumeration Date:
07/30/2006

Additional Information

			
		

Authorized Official

Authorized Official Last Name:
ZAMOJSKI
Authorized Official First Name:
DENNIS
Authorized Official Middle Name:
Authorized Official Title or Position:
CHIEF EXECUTIVE OFFICER
Authorized Official Telephone Number:
615-515-2901

Provider Taxonomy Codes

  • Taxonomy code: 332B00000X ; information, associated with the NPI states the following Primary Taxonomy Switch: "Y" .

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