Provider Demographics
NPI:1225516032
Name:BLITZ MEDICAL BILLING
Entity Type:Organization
Organization Name:BLITZ MEDICAL BILLING
Other - Org Name:BMB
Other - Org Type:Doing Business As
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:MR
Authorized Official - First Name:CRAIG
Authorized Official - Middle Name:
Authorized Official - Last Name:DEITCH
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:469-210-0485
Mailing Address - Street 1:PO BOX 2669
Mailing Address - Street 2:
Mailing Address - City:FRISCO
Mailing Address - State:TX
Mailing Address - Zip Code:75034-0050
Mailing Address - Country:US
Mailing Address - Phone:469-210-0485
Mailing Address - Fax:
Practice Address - Street 1:3550 PARKWOOD BLVD # C304
Practice Address - Street 2:
Practice Address - City:FRISCO
Practice Address - State:TX
Practice Address - Zip Code:75034-1903
Practice Address - Country:US
Practice Address - Phone:469-210-0485
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2018-08-02
Last Update Date:2021-01-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QE0002XAmbulatory Health Care FacilitiesClinic/CenterEmergency Care