Provider Demographics
NPI:1083971188
Name:EXQUISITE CONCEPTS CONSULTING SERVICES
Entity Type:Organization
Organization Name:EXQUISITE CONCEPTS CONSULTING SERVICES
Other - Org Name:EXQUISITE CONCEPTS CONSULTING SERVICE
Other - Org Type:Doing Business As
Authorized Official - Title/Position:MEDICAL BILLING/CODER
Authorized Official - Prefix:MS
Authorized Official - First Name:DENISE
Authorized Official - Middle Name:
Authorized Official - Last Name:LA FLEUR
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:206-424-0587
Mailing Address - Street 1:101 EUCALYPTUS STREET
Mailing Address - Street 2:4201
Mailing Address - City:LAKE JACKSON
Mailing Address - State:TX
Mailing Address - Zip Code:77566-4734
Mailing Address - Country:US
Mailing Address - Phone:206-424-0587
Mailing Address - Fax:888-723-1016
Practice Address - Street 1:101 EUCALYPTUS ST
Practice Address - Street 2:4201
Practice Address - City:LAKE JACKSON
Practice Address - State:TX
Practice Address - Zip Code:77566-4652
Practice Address - Country:US
Practice Address - Phone:206-424-0587
Practice Address - Fax:888-723-1016
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2012-04-13
Last Update Date:2012-05-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes1744R1103XOther Service ProvidersSpecialistResearch Data Abstracter/CoderGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
TX=========OtherEIN