Provider Demographics
NPI:1346586070
Name:TEAM WORK READY BATON ROUGE, INC.
Entity Type:Organization
Organization Name:TEAM WORK READY BATON ROUGE, INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:C.O.O.
Authorized Official - Prefix:MR
Authorized Official - First Name:JOHN
Authorized Official - Middle Name:
Authorized Official - Last Name:CRUISE
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:713-661-2100
Mailing Address - Street 1:2626 S LOOP W STE 260
Mailing Address - Street 2:
Mailing Address - City:HOUSTON
Mailing Address - State:TX
Mailing Address - Zip Code:77054-2849
Mailing Address - Country:US
Mailing Address - Phone:713-661-2100
Mailing Address - Fax:281-407-6031
Practice Address - Street 1:9654 BROOKLINE AVE STE 100
Practice Address - Street 2:
Practice Address - City:BATON ROUGE
Practice Address - State:LA
Practice Address - Zip Code:70809-1459
Practice Address - Country:US
Practice Address - Phone:225-385-7385
Practice Address - Fax:225-300-8469
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2012-12-28
Last Update Date:2012-12-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes111NX0800XChiropractic ProvidersChiropractorOrthopedicGroup - Single Specialty