Provider Demographics
NPI:1417725235
Name:BILLY'S GROUP LLC
Entity Type:Organization
Organization Name:BILLY'S GROUP LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:
Authorized Official - First Name:GASSER
Authorized Official - Middle Name:
Authorized Official - Last Name:OUF
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:832-823-9544
Mailing Address - Street 1:1931 HUMBLE PLACE DR STE 209
Mailing Address - Street 2:
Mailing Address - City:HUMBLE
Mailing Address - State:TX
Mailing Address - Zip Code:77338-5257
Mailing Address - Country:US
Mailing Address - Phone:832-823-9544
Mailing Address - Fax:
Practice Address - Street 1:1931 HUMBLE PLACE DR STE 209
Practice Address - Street 2:
Practice Address - City:HUMBLE
Practice Address - State:TX
Practice Address - Zip Code:77338-5257
Practice Address - Country:US
Practice Address - Phone:832-823-9544
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2023-12-12
Last Update Date:2023-12-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes3416L0300XTransportation ServicesAmbulanceLand Transport
Provider Identifiers
StateIdentifier IDID TypeIssuer
TX1001096OtherTEXAS DEPARTMENT OF STATE HEALTH SERVICES