Provider Demographics
NPI:1316412109
Name:AIS BS LLC
Entity Type:Organization
Organization Name:AIS BS LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:DIRECTOR, CUSTOMER SOLUTIONS
Authorized Official - Prefix:MRS
Authorized Official - First Name:RACHEL
Authorized Official - Middle Name:
Authorized Official - Last Name:MCNEW-NGUYEN
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:832-280-6464
Mailing Address - Street 1:6671 SOUTHWEST FWY STE 300M
Mailing Address - Street 2:
Mailing Address - City:HOUSTON
Mailing Address - State:TX
Mailing Address - Zip Code:77074-2212
Mailing Address - Country:US
Mailing Address - Phone:832-280-6464
Mailing Address - Fax:800-863-6636
Practice Address - Street 1:6671 SOUTHWEST FWY STE 300M
Practice Address - Street 2:
Practice Address - City:HOUSTON
Practice Address - State:TX
Practice Address - Zip Code:77074-2212
Practice Address - Country:US
Practice Address - Phone:832-280-6464
Practice Address - Fax:800-863-6636
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2018-10-08
Last Update Date:2020-04-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QI0500XAmbulatory Health Care FacilitiesClinic/CenterInfusion Therapy