1346266723 NPI number — BROWN & BROWN RESOURCES INC.

Table of content: (NPI 1346266723)

General

This information contains only most important part of the NPI data, for complete information, including NPI referencing materials please refer to 1346266723 NPI number — BROWN & BROWN RESOURCES INC.

Organization/Personal Information

Employer Identification Number (EIN):
Provider Organization Name:
BROWN & BROWN RESOURCES INC.
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:
6
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:
1346266723
Entity Type Code:
Organization
Replacement NPI:
Last Update Date:
11/01/2023
NPI Deactivation Reason Code:
NPI Deactivation Date:
NPI Reactivation Date:

Provider's Business Mailing Address

Provider First Line Business Mailing Address:
2018 AVENUE B # 200
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:
78215-1169
Provider Business Mailing Address Country Code:
US
Provider Business Mailing Address Telephone Number:
210-822-8807
Provider Business Mailing Address Fax Number:
210-822-8863

Provider's Practice Location Mailing Address

Provider First Line Business Practice Location Address:
2018 AVENUE B # 200
Provider Second Line Business Practice Location Address:
Provider Business Practice Location Address City Name:
SAN ANTONIO
Provider Business Practice Location Address State Name:
TX
Provider Business Practice Location Address Postal Code:
78215-1169
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
210-822-8807
Provider Business Practice Location Address Fax Number:
210-822-8863
Provider Enumeration Date:
07/15/2006

Additional Information

Authorized Official

Authorized Official Last Name:
GUIMBARDA
Authorized Official First Name:
EDUARDO
Authorized Official Middle Name:
J
Authorized Official Title or Position:
CEO
Authorized Official Telephone Number:
210-822-8807

Provider Taxonomy Codes

  • Taxonomy code: 251E00000X , with the licence number:  457251 , registered in the state of TX ; information, associated with the NPI states the following Primary Taxonomy Switch: "Y" .

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

  • Identifier: 000090700 , issued by the state of ( TX ) . This identifiers is of the category "MEDICAID".
  • Identifier: 001003305 , issued by the state of ( TX ) . This identifiers is of the category "MEDICAID".
  • Identifier: 000153300 , issued by the state of ( TX ) . This identifiers is of the category "MEDICAID".
  • Identifier: 000662900 , issued by the state of ( TX ) . This identifiers is of the category "MEDICAID".
  • Identifier: HH9075 . This is a "BCBS" identifier , issued by the state of ( TX ) . This identifiers is of the category "OTHER".
  • Identifier: 001003129 , issued by the state of ( TX ) . This identifiers is of the category "MEDICAID".
  • Identifier: 0235772-01 , issued by the state of ( TX ) . This identifiers is of the category "MEDICAID".
  • Identifier: 000871600 , issued by the state of ( TX ) . This identifiers is of the category "MEDICAID".




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