1669714168 NPI number — ROYAL MANOR II

Table of content: (NPI 1669714168)

General

This information contains only most important part of the NPI data, for complete information, including NPI referencing materials please refer to 1669714168 NPI number — ROYAL MANOR II

Organization/Personal Information

Employer Identification Number (EIN):
Provider Organization Name:
ROYAL MANOR II
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:
1669714168
Entity Type Code:
Organization
Replacement NPI:
Last Update Date:
02/10/2014
NPI Deactivation Reason Code:
NPI Deactivation Date:
NPI Reactivation Date:

Provider's Business Mailing Address

Provider First Line Business Mailing Address:
12656 FM 2331
Provider Second Line Business Mailing Address:
Provider Business Mailing Address City Name:
GODLEY
Provider Business Mailing Address State Name:
TX
Provider Business Mailing Address Postal Code:
76044-3329
Provider Business Mailing Address Country Code:
US
Provider Business Mailing Address Telephone Number:
254-666-2164
Provider Business Mailing Address Fax Number:

Provider's Practice Location Mailing Address

Provider First Line Business Practice Location Address:
9101 PANTHER WAY
Provider Second Line Business Practice Location Address:
Provider Business Practice Location Address City Name:
WACO
Provider Business Practice Location Address State Name:
TX
Provider Business Practice Location Address Postal Code:
76712-8614
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
254-235-9690
Provider Business Practice Location Address Fax Number:
254-235-1394
Provider Enumeration Date:
03/22/2013

Additional Information

Authorized Official

Authorized Official Last Name:
RANDALL
Authorized Official First Name:
VICKI
Authorized Official Middle Name:
Authorized Official Title or Position:
ADMINISTRATOR
Authorized Official Telephone Number:
254-666-2164

Provider Taxonomy Codes

  • Taxonomy code: 314000000X , with the licence number:  137613 , 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: 001021191 , issued by the state of ( TX ) . This identifiers is of the category "MEDICAID".




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