1356534150 NPI number — ORIS GROUP INC.

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 1356534150 NPI number — ORIS GROUP INC.

Organization/Personal Information

Employer Identification Number (EIN):
Provider Organization Name:
ORIS GROUP 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:
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:
1356534150
Entity Type Code:
Organization
Replacement NPI:
Last Update Date:
08/24/2007
NPI Deactivation Reason Code:
NPI Deactivation Date:
NPI Reactivation Date:

Provider's Business Mailing Address

Provider First Line Business Mailing Address:
17326 TRACE GLEN LN
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:
77083-7394
Provider Business Mailing Address Country Code:
US
Provider Business Mailing Address Telephone Number:
713-242-6665
Provider Business Mailing Address Fax Number:
281-313-9764

Provider's Practice Location Mailing Address

Provider First Line Business Practice Location Address:
17326 TRACE GLEN LN
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:
77083-7394
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
713-242-6665
Provider Business Practice Location Address Fax Number:
281-313-9764
Provider Enumeration Date:
08/24/2007

Additional Information

			
		

Authorized Official

Authorized Official Last Name:
ORISAKWE
Authorized Official First Name:
RICKY
Authorized Official Middle Name:
ABRAM
Authorized Official Title or Position:
C.E.O.
Authorized Official Telephone Number:
281-242-6665

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)