1710310966 NPI number — HEALTHSCRIPTS OF AMERICA - NORTH TEXAS LLC

Table of content: (NPI 1710310966)

General

This information contains only most important part of the NPI data, for complete information, including NPI referencing materials please refer to 1710310966 NPI number — HEALTHSCRIPTS OF AMERICA - NORTH TEXAS LLC

Organization/Personal Information

Employer Identification Number (EIN):
Provider Organization Name:
HEALTHSCRIPTS OF AMERICA - NORTH 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:
HEALTHSCRIPTS OF AMERICA - NORTH TEXAS, LLC
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:
1710310966
Entity Type Code:
Organization
Replacement NPI:
Last Update Date:
12/08/2015
NPI Deactivation Reason Code:
NPI Deactivation Date:
NPI Reactivation Date:

Provider's Business Mailing Address

Provider First Line Business Mailing Address:
13020 DAIRY ASHFORD RD STE 301
Provider Second Line Business Mailing Address:
Provider Business Mailing Address City Name:
SUGAR LAND
Provider Business Mailing Address State Name:
TX
Provider Business Mailing Address Postal Code:
77478-3151
Provider Business Mailing Address Country Code:
US
Provider Business Mailing Address Telephone Number:
832-770-8217
Provider Business Mailing Address Fax Number:
713-599-3696

Provider's Practice Location Mailing Address

Provider First Line Business Practice Location Address:
7904 NE LOOP 820
Provider Second Line Business Practice Location Address:
SUITES A AND B
Provider Business Practice Location Address City Name:
NORTH RICHLAND HILLS
Provider Business Practice Location Address State Name:
TX
Provider Business Practice Location Address Postal Code:
76180-7395
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
817-284-0568
Provider Business Practice Location Address Fax Number:
855-833-4990
Provider Enumeration Date:
08/12/2013

Additional Information

Authorized Official

Authorized Official Last Name:
NEZAMI
Authorized Official First Name:
KAMRAN
Authorized Official Middle Name:
Authorized Official Title or Position:
CEO
Authorized Official Telephone Number:
832-770-8180

Provider Taxonomy Codes

  • Taxonomy code: 333600000X ; information, associated with the NPI states the following Primary Taxonomy Switch: "N" .
  • Taxonomy code: 3336C0003X , with the licence number: 28767 , registered in the state of TX ; information, associated with the NPI states the following Primary Taxonomy Switch: "Y" .
  • Taxonomy code: 3336C0004X ; information, associated with the NPI states the following Primary Taxonomy Switch: "N" .

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

  • Identifier: 2141989 . This is a "PK" identifier . This identifiers is of the category "OTHER".




Copyright © 2007-2024 www.npivalidator.com