1629191283 NPI number — RONALD L NORSWORTHY INC

Table of content: (NPI 1629191283)

General

This information contains only most important part of the NPI data, for complete information, including NPI referencing materials please refer to 1629191283 NPI number — RONALD L NORSWORTHY INC

Organization/Personal Information

Employer Identification Number (EIN):
Provider Organization Name:
RONALD L NORSWORTHY 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:
HOME HELPERS FORT BEND
Provider Other Organization Name Type Code:
3
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:
1629191283
Entity Type Code:
Organization
Replacement NPI:
Last Update Date:
06/13/2008
NPI Deactivation Reason Code:
NPI Deactivation Date:
NPI Reactivation Date:

Provider's Business Mailing Address

Provider First Line Business Mailing Address:
19901 SOUTHWEST FWY
Provider Second Line Business Mailing Address:
SUITE 245
Provider Business Mailing Address City Name:
SUGAR LAND
Provider Business Mailing Address State Name:
TX
Provider Business Mailing Address Postal Code:
77479-6538
Provider Business Mailing Address Country Code:
US
Provider Business Mailing Address Telephone Number:
281-207-5359
Provider Business Mailing Address Fax Number:
281-207-5349

Provider's Practice Location Mailing Address

Provider First Line Business Practice Location Address:
19901 SOUTHWEST FWY
Provider Second Line Business Practice Location Address:
SUITE 245
Provider Business Practice Location Address City Name:
SUGAR LAND
Provider Business Practice Location Address State Name:
TX
Provider Business Practice Location Address Postal Code:
77479-6538
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
281-207-5359
Provider Business Practice Location Address Fax Number:
281-207-5349
Provider Enumeration Date:
04/09/2007

Additional Information

			
		

Authorized Official

Authorized Official Last Name:
NORSWORTHY
Authorized Official First Name:
RONALD
Authorized Official Middle Name:
LAMOND
Authorized Official Title or Position:
PRESIDENT
Authorized Official Telephone Number:
281-207-5359

Provider Taxonomy Codes

  • Taxonomy code: 174400000X , with the licence number:  008373 , 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: 001012947 , issued by the state of ( TX ) . This identifiers is of the category "MEDICAID".
  • Identifier: 008373 . This is a "PAS LICENSE" identifier , issued by the state of ( TX ) . This identifiers is of the category "OTHER".