Provider Demographics
NPI:1083734701
Name:AIQ ENTERPRISES INC
Entity Type:Organization
Organization Name:AIQ ENTERPRISES INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:NIRMALA
Authorized Official - Middle Name:
Authorized Official - Last Name:AUERBACH
Authorized Official - Suffix:
Authorized Official - Credentials:RD
Authorized Official - Phone:210-481-6519
Mailing Address - Street 1:7214 ADAIR POST
Mailing Address - Street 2:
Mailing Address - City:SAN ANTONIO
Mailing Address - State:TX
Mailing Address - Zip Code:78250-6298
Mailing Address - Country:US
Mailing Address - Phone:210-481-6519
Mailing Address - Fax:210-481-6519
Practice Address - Street 1:7214 ADAIR POST
Practice Address - Street 2:
Practice Address - City:SAN ANTONIO
Practice Address - State:TX
Practice Address - Zip Code:78250-6298
Practice Address - Country:US
Practice Address - Phone:210-481-6519
Practice Address - Fax:210-481-6519
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-03-29
Last Update Date:2007-08-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TXDT07302133V00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes133V00000XDietary & Nutritional Service ProvidersDietitian, RegisteredGroup - Single Specialty