1912054958 NPI number — JUST THE RIGHT TOUCH

Table of Contents

General

This information contains only most important part of the NPI data, for complete information, including NPI referencing materials please refer to 1912054958 NPI number — JUST THE RIGHT TOUCH

Organization/Personal Information

Employer Identification Number (EIN):
Provider Organization Name:
JUST THE RIGHT TOUCH
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:
1912054958
Entity Type Code:
Organization
Replacement NPI:
Last Update Date:
08/22/2020
NPI Deactivation Reason Code:
NPI Deactivation Date:
NPI Reactivation Date:

Provider's Business Mailing Address

Provider First Line Business Mailing Address:
1003 E BROAD ST
Provider Second Line Business Mailing Address:
SUITE 103
Provider Business Mailing Address City Name:
MANSFIELD
Provider Business Mailing Address State Name:
TX
Provider Business Mailing Address Postal Code:
76063-1716
Provider Business Mailing Address Country Code:
US
Provider Business Mailing Address Telephone Number:
817-896-6947
Provider Business Mailing Address Fax Number:
817-472-2983

Provider's Practice Location Mailing Address

Provider First Line Business Practice Location Address:
1003 E BROAD ST
Provider Second Line Business Practice Location Address:
SUITE 103
Provider Business Practice Location Address City Name:
MANSFIELD
Provider Business Practice Location Address State Name:
TX
Provider Business Practice Location Address Postal Code:
76063-1716
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
817-896-6947
Provider Business Practice Location Address Fax Number:
817-472-2983
Provider Enumeration Date:
01/04/2007

Additional Information

Authorized Official

Authorized Official Last Name:
PATTERSON
Authorized Official First Name:
DONNA
Authorized Official Middle Name:
RENEE
Authorized Official Title or Position:
OWNER ADMINISTRATOR
Authorized Official Telephone Number:
817-896-6947

Provider Taxonomy Codes

  • Taxonomy code: 320600000X ; information, associated with the NPI states the following Primary Taxonomy Switch: "Y" .

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





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