Provider Demographics
NPI:1235728577
Name:MEGNAT INC
Entity Type:Organization
Organization Name:MEGNAT INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:MANAGER
Authorized Official - Prefix:MR
Authorized Official - First Name:NATHANIEL
Authorized Official - Middle Name:A
Authorized Official - Last Name:CORRIERI
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:407-801-9107
Mailing Address - Street 1:2591 DALLAS PKWY
Mailing Address - Street 2:
Mailing Address - City:FRISCO
Mailing Address - State:TX
Mailing Address - Zip Code:75034-8542
Mailing Address - Country:US
Mailing Address - Phone:214-494-0737
Mailing Address - Fax:
Practice Address - Street 1:2591 DALLAS PKWY
Practice Address - Street 2:
Practice Address - City:FRISCO
Practice Address - State:TX
Practice Address - Zip Code:75034-8542
Practice Address - Country:US
Practice Address - Phone:214-494-0737
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2021-01-12
Last Update Date:2021-01-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental HealthGroup - Multi-Specialty