1457058935 NPI number — AKIMA HEALTHCARE 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 1457058935 NPI number — AKIMA HEALTHCARE INC.

Organization/Personal Information

Employer Identification Number (EIN):
Provider Organization Name:
AKIMA HEALTHCARE 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:
1457058935
Entity Type Code:
Organization
Replacement NPI:
Last Update Date:
02/14/2023
NPI Deactivation Reason Code:
NPI Deactivation Date:
NPI Reactivation Date:

Provider's Business Mailing Address

Provider First Line Business Mailing Address:
11110 PETAL STREET
Provider Second Line Business Mailing Address:
STE 500 UNIT B
Provider Business Mailing Address City Name:
DALLAS
Provider Business Mailing Address State Name:
TX
Provider Business Mailing Address Postal Code:
75238
Provider Business Mailing Address Country Code:
US
Provider Business Mailing Address Telephone Number:
469-560-3912
Provider Business Mailing Address Fax Number:
469-519-6991

Provider's Practice Location Mailing Address

Provider First Line Business Practice Location Address:
11110 PETAL STREET
Provider Second Line Business Practice Location Address:
STE 500 UNIT B
Provider Business Practice Location Address City Name:
DALLAS
Provider Business Practice Location Address State Name:
TX
Provider Business Practice Location Address Postal Code:
75238
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
469-560-3912
Provider Business Practice Location Address Fax Number:
469-519-6991
Provider Enumeration Date:
02/14/2023

Additional Information

Authorized Official

Authorized Official Last Name:
JOHNSON
Authorized Official First Name:
HELEN
Authorized Official Middle Name:
Authorized Official Title or Position:
ADMINISTRATOR
Authorized Official Telephone Number:
469-560-3912

Provider Taxonomy Codes

  • Taxonomy code: 251E00000X ; information, associated with the NPI states the following Primary Taxonomy Switch: "Y" .

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





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