1831294263 NPI number — COWELL GROUP INC

Table of content: (NPI 1831294263)

General

This information contains only most important part of the NPI data, for complete information, including NPI referencing materials please refer to 1831294263 NPI number — COWELL GROUP INC

Organization/Personal Information

Employer Identification Number (EIN):
Provider Organization Name:
COWELL GROUP 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:
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:
1831294263
Entity Type Code:
Organization
Replacement NPI:
Last Update Date:
11/21/2007
NPI Deactivation Reason Code:
NPI Deactivation Date:
NPI Reactivation Date:

Provider's Business Mailing Address

Provider First Line Business Mailing Address:
2504 AVE K
Provider Second Line Business Mailing Address:
STE 500
Provider Business Mailing Address City Name:
PLANO
Provider Business Mailing Address State Name:
TX
Provider Business Mailing Address Postal Code:
75074-5341
Provider Business Mailing Address Country Code:
US
Provider Business Mailing Address Telephone Number:
972-424-2225
Provider Business Mailing Address Fax Number:
972-424-7709

Provider's Practice Location Mailing Address

Provider First Line Business Practice Location Address:
2504 AVE K
Provider Second Line Business Practice Location Address:
STE 500
Provider Business Practice Location Address City Name:
PLANO
Provider Business Practice Location Address State Name:
TX
Provider Business Practice Location Address Postal Code:
75074-5341
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
972-424-2225
Provider Business Practice Location Address Fax Number:
972-424-7709
Provider Enumeration Date:
09/13/2006

Additional Information

Authorized Official

Authorized Official Last Name:
MOORE
Authorized Official First Name:
KELLI
Authorized Official Middle Name:
K
Authorized Official Title or Position:
MANAGER
Authorized Official Telephone Number:
972-424-2225

Provider Taxonomy Codes

  • Taxonomy code: 111N00000X , with the licence number:  F006625 , 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: 0041MN . This is a "BLUE CROSS" identifier , issued by the state of ( TX ) . This identifiers is of the category "OTHER".




Copyright © 2007-2025 www.npivalidator.com