Provider Demographics
NPI:1093906661
Name:MEALTIME PARTNERS, INC.
Entity Type:Organization
Organization Name:MEALTIME PARTNERS, INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:VICE PRESIDENT
Authorized Official - Prefix:MS
Authorized Official - First Name:CATHERINE
Authorized Official - Middle Name:
Authorized Official - Last Name:WYATT
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:817-237-9991
Mailing Address - Street 1:1137 SOUTHEAST PKWY
Mailing Address - Street 2:
Mailing Address - City:AZLE
Mailing Address - State:TX
Mailing Address - Zip Code:76020-3803
Mailing Address - Country:US
Mailing Address - Phone:817-237-9991
Mailing Address - Fax:817-237-0102
Practice Address - Street 1:1137 SOUTHEAST PKWY
Practice Address - Street 2:
Practice Address - City:AZLE
Practice Address - State:TX
Practice Address - Zip Code:76020-3803
Practice Address - Country:US
Practice Address - Phone:817-237-9991
Practice Address - Fax:817-237-0102
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-08-07
Last Update Date:2007-08-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes332B00000XSuppliersDurable Medical Equipment & Medical Supplies