1528147204 NPI number — PLANNED PARENTHOOD OF GREATER TEXAS

Table of content: (NPI 1528147204)

General

This information contains only most important part of the NPI data, for complete information, including NPI referencing materials please refer to 1528147204 NPI number — PLANNED PARENTHOOD OF GREATER TEXAS

Organization/Personal Information

Employer Identification Number (EIN):
Provider Organization Name:
PLANNED PARENTHOOD OF GREATER TEXAS
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:
1528147204
Entity Type Code:
Organization
Replacement NPI:
Last Update Date:
04/16/2013
NPI Deactivation Reason Code:
NPI Deactivation Date:
NPI Reactivation Date:

Provider's Business Mailing Address

Provider First Line Business Mailing Address:
7424 GREENVILLE AVE
Provider Second Line Business Mailing Address:
206
Provider Business Mailing Address City Name:
DALLAS
Provider Business Mailing Address State Name:
TX
Provider Business Mailing Address Postal Code:
75231-4552
Provider Business Mailing Address Country Code:
US
Provider Business Mailing Address Telephone Number:
214-254-3021
Provider Business Mailing Address Fax Number:
512-275-0181

Provider's Practice Location Mailing Address

Provider First Line Business Practice Location Address:
1823 E 7TH ST
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:
78702-2713
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
512-477-5846
Provider Business Practice Location Address Fax Number:
512-477-7134
Provider Enumeration Date:
11/03/2006

Additional Information

Authorized Official

Authorized Official Last Name:
LAMBRECHT
Authorized Official First Name:
KEN
Authorized Official Middle Name:
Authorized Official Title or Position:
EXECUTIVE DIRECTOR
Authorized Official Telephone Number:
512-275-0171

Provider Taxonomy Codes

  • Taxonomy code: 261QA0005X , 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: 127219703 , issued by the state of ( TX ) . This identifiers is of the category "MEDICAID".
  • Identifier: 299911201 , issued by the state of ( TX ) . This identifiers is of the category "MEDICAID".




Copyright © 2007-2025 www.npivalidator.com