Provider Demographics
NPI:1306226055
Name:PFORYM BUSINESS SOLUTIONS, INC
Entity Type:Organization
Organization Name:PFORYM BUSINESS SOLUTIONS, INC
Other - Org Name:PFORYMWELL
Other - Org Type:Doing Business As
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:
Authorized Official - First Name:MELODY
Authorized Official - Middle Name:
Authorized Official - Last Name:OGLETREE
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:806-784-0506
Mailing Address - Street 1:PO BOX 6158
Mailing Address - Street 2:
Mailing Address - City:LUBBOCK
Mailing Address - State:TX
Mailing Address - Zip Code:79493-6158
Mailing Address - Country:US
Mailing Address - Phone:806-784-0506
Mailing Address - Fax:
Practice Address - Street 1:3008 50TH ST
Practice Address - Street 2:SUITE F
Practice Address - City:LUBBOCK
Practice Address - State:TX
Practice Address - Zip Code:79413-4130
Practice Address - Country:US
Practice Address - Phone:806-784-0506
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2015-06-08
Last Update Date:2015-06-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TXH7986261QC1800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QC1800XAmbulatory Health Care FacilitiesClinic/CenterCorporate Health