Provider Demographics
NPI:1407032642
Name:EBILLING MANAGEMENT SYSTEM
Entity Type:Organization
Organization Name:EBILLING MANAGEMENT SYSTEM
Other - Org Name:EBILLING MANAGEMENT SYSTEM
Other - Org Type:Doing Business As
Authorized Official - Title/Position:MANAGER
Authorized Official - Prefix:MISS
Authorized Official - First Name:LILLY
Authorized Official - Middle Name:FAITH
Authorized Official - Last Name:HARRIS
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:214-929-6656
Mailing Address - Street 1:3960 BROADWAY BLVD
Mailing Address - Street 2:220-I
Mailing Address - City:GARLAND
Mailing Address - State:TX
Mailing Address - Zip Code:75043-2593
Mailing Address - Country:US
Mailing Address - Phone:214-929-6656
Mailing Address - Fax:
Practice Address - Street 1:3960 BROADWAY BLVD
Practice Address - Street 2:220-I
Practice Address - City:GARLAND
Practice Address - State:TX
Practice Address - Zip Code:75043-2593
Practice Address - Country:US
Practice Address - Phone:214-929-6656
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2008-01-17
Last Update Date:2008-01-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes171W00000XOther Service ProvidersContractorGroup - Single Specialty