1841604758 NPI number — RENAISSANCE MOTION TECHNOLOGICAL SERVICES

Table of content: (NPI 1841604758)

General

This information contains only most important part of the NPI data, for complete information, including NPI referencing materials please refer to 1841604758 NPI number — RENAISSANCE MOTION TECHNOLOGICAL SERVICES

Organization/Personal Information

Employer Identification Number (EIN):
Provider Organization Name:
RENAISSANCE MOTION TECHNOLOGICAL SERVICES
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:
1841604758
Entity Type Code:
Organization
Replacement NPI:
Last Update Date:
04/04/2016
NPI Deactivation Reason Code:
NPI Deactivation Date:
NPI Reactivation Date:

Provider's Business Mailing Address

Provider First Line Business Mailing Address:
PO BOX 41364
Provider Second Line Business Mailing Address:
Provider Business Mailing Address City Name:
HOUSTON
Provider Business Mailing Address State Name:
TX
Provider Business Mailing Address Postal Code:
77241-1364
Provider Business Mailing Address Country Code:
US
Provider Business Mailing Address Telephone Number:
281-670-5144
Provider Business Mailing Address Fax Number:
281-781-8830

Provider's Practice Location Mailing Address

Provider First Line Business Practice Location Address:
440 BENMAR DR
Provider Second Line Business Practice Location Address:
STE 2002
Provider Business Practice Location Address City Name:
HOUSTON
Provider Business Practice Location Address State Name:
TX
Provider Business Practice Location Address Postal Code:
77060-3165
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
281-670-5144
Provider Business Practice Location Address Fax Number:
281-781-8830
Provider Enumeration Date:
06/18/2014

Additional Information

Authorized Official

Authorized Official Last Name:
BECKHAM
Authorized Official First Name:
JAMES
Authorized Official Middle Name:
A
Authorized Official Title or Position:
OWNER
Authorized Official Telephone Number:
281-670-5144

Provider Taxonomy Codes

  • Taxonomy code: 335E00000X , with the licence number:  1465 , 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)





Copyright © 2007-2025 www.npivalidator.com