Provider Demographics
NPI:1356639116
Name:MEDICAL EVALUATORS OF TX ASO LLC
Entity Type:Organization
Organization Name:MEDICAL EVALUATORS OF TX ASO LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:EXECUTIVE
Authorized Official - Prefix:
Authorized Official - First Name:MARIO
Authorized Official - Middle Name:
Authorized Official - Last Name:RUIZ
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:713-961-7277
Mailing Address - Street 1:1225 NORTH LOOP W STE 1055
Mailing Address - Street 2:
Mailing Address - City:HOUSTON
Mailing Address - State:TX
Mailing Address - Zip Code:77008-1756
Mailing Address - Country:US
Mailing Address - Phone:713-961-7277
Mailing Address - Fax:713-850-8190
Practice Address - Street 1:1225 NORTH LOOP W STE 1055
Practice Address - Street 2:
Practice Address - City:HOUSTON
Practice Address - State:TX
Practice Address - Zip Code:77008-1756
Practice Address - Country:US
Practice Address - Phone:713-961-7277
Practice Address - Fax:713-850-8190
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2011-07-14
Last Update Date:2011-07-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes171M00000XOther Service ProvidersCase Manager/Care CoordinatorGroup - Multi-Specialty
No174400000XOther Service ProvidersSpecialistGroup - Multi-Specialty