1629346382 NPI number — HEALTHSOURCE OF MANSFIELD TEXAS LLC

Table of content: (NPI 1629346382)

General

This information contains only most important part of the NPI data, for complete information, including NPI referencing materials please refer to 1629346382 NPI number — HEALTHSOURCE OF MANSFIELD TEXAS LLC

Organization/Personal Information

Employer Identification Number (EIN):
Provider Organization Name:
HEALTHSOURCE OF MANSFIELD TEXAS LLC
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:
1629346382
Entity Type Code:
Organization
Replacement NPI:
Last Update Date:
09/12/2013
NPI Deactivation Reason Code:
NPI Deactivation Date:
NPI Reactivation Date:

Provider's Business Mailing Address

Provider First Line Business Mailing Address:
121 W DEBBIE LN
Provider Second Line Business Mailing Address:
STE 115
Provider Business Mailing Address City Name:
MANSFIELD
Provider Business Mailing Address State Name:
TX
Provider Business Mailing Address Postal Code:
76063-8941
Provider Business Mailing Address Country Code:
US
Provider Business Mailing Address Telephone Number:
682-518-9393
Provider Business Mailing Address Fax Number:
682-518-9398

Provider's Practice Location Mailing Address

Provider First Line Business Practice Location Address:
121 W DEBBIE LN
Provider Second Line Business Practice Location Address:
STE 115
Provider Business Practice Location Address City Name:
MANSFIELD
Provider Business Practice Location Address State Name:
TX
Provider Business Practice Location Address Postal Code:
76063-8941
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
682-518-9393
Provider Business Practice Location Address Fax Number:
682-518-9398
Provider Enumeration Date:
12/09/2011

Additional Information

Authorized Official

Authorized Official Last Name:
PETTKE
Authorized Official First Name:
M BRANDON
Authorized Official Middle Name:
Authorized Official Title or Position:
MANAGER
Authorized Official Telephone Number:
682-518-9393

Provider Taxonomy Codes

  • Taxonomy code: 111N00000X ; information, associated with the NPI states the following Primary Taxonomy Switch: "Y" .

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





Copyright © 2007-2025 www.npivalidator.com