Provider Demographics
NPI:1114271475
Name:GLENCRIS CONSTRUCTION INC.
Entity Type:Organization
Organization Name:GLENCRIS CONSTRUCTION INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:VICE PRESIDENT
Authorized Official - Prefix:
Authorized Official - First Name:DEANNA
Authorized Official - Middle Name:
Authorized Official - Last Name:GEGGATT
Authorized Official - Suffix:
Authorized Official - Credentials:RN
Authorized Official - Phone:281-271-8538
Mailing Address - Street 1:2121 BRITTMOORE RD.
Mailing Address - Street 2:SUITE 8400
Mailing Address - City:HOUSTON
Mailing Address - State:TX
Mailing Address - Zip Code:77043
Mailing Address - Country:US
Mailing Address - Phone:281-271-8538
Mailing Address - Fax:281-825-3854
Practice Address - Street 1:2121 BRITTMOORE RD.
Practice Address - Street 2:SUITE 8400
Practice Address - City:HOUSTON
Practice Address - State:TX
Practice Address - Zip Code:77043
Practice Address - Country:US
Practice Address - Phone:281-271-8538
Practice Address - Fax:281-825-3854
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2012-11-07
Last Update Date:2014-02-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes332BC3200XSuppliersDurable Medical Equipment & Medical SuppliesCustomized Equipment