Provider Demographics
NPI:1073921417
Name:ORION PEDIATRIC STAFFING, LLC.
Entity Type:Organization
Organization Name:ORION PEDIATRIC STAFFING, LLC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:MANAGER
Authorized Official - Prefix:MR
Authorized Official - First Name:JOSEPH
Authorized Official - Middle Name:
Authorized Official - Last Name:DESILVA
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:713-702-6236
Mailing Address - Street 1:1506 N ALABAMA RD
Mailing Address - Street 2:SUITE 101
Mailing Address - City:WHARTON
Mailing Address - State:TX
Mailing Address - Zip Code:77488-3271
Mailing Address - Country:US
Mailing Address - Phone:713-702-6236
Mailing Address - Fax:281-310-6561
Practice Address - Street 1:1506 N ALABAMA RD
Practice Address - Street 2:SUITE 101
Practice Address - City:WHARTON
Practice Address - State:TX
Practice Address - Zip Code:77488-3271
Practice Address - Country:US
Practice Address - Phone:713-702-6236
Practice Address - Fax:281-310-6561
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2014-07-29
Last Update Date:2015-07-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health