Provider Demographics
NPI:1225743826
Name:CRESPIN INC
Entity Type:Organization
Organization Name:CRESPIN INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:HERMINIO
Authorized Official - Middle Name:
Authorized Official - Last Name:ROSALES
Authorized Official - Suffix:
Authorized Official - Credentials:ABO
Authorized Official - Phone:956-546-3995
Mailing Address - Street 1:2120 E PRICE RD STE B
Mailing Address - Street 2:
Mailing Address - City:BROWNSVILLE
Mailing Address - State:TX
Mailing Address - Zip Code:78521-2401
Mailing Address - Country:US
Mailing Address - Phone:956-546-3995
Mailing Address - Fax:
Practice Address - Street 1:2120 E PRICE RD STE B
Practice Address - Street 2:
Practice Address - City:BROWNSVILLE
Practice Address - State:TX
Practice Address - Zip Code:78521-2401
Practice Address - Country:US
Practice Address - Phone:956-546-3995
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2023-01-18
Last Update Date:2023-01-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes332H00000XSuppliersEyewear Supplier