Provider Demographics
NPI:1427394055
Name:DART HARD FITNESS INC.
Entity Type:Organization
Organization Name:DART HARD FITNESS INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:DIRECTOR
Authorized Official - Prefix:MS
Authorized Official - First Name:FELICIA
Authorized Official - Middle Name:
Authorized Official - Last Name:DAVIS
Authorized Official - Suffix:
Authorized Official - Credentials:MS
Authorized Official - Phone:281-443-1432
Mailing Address - Street 1:1007 STABLE SIDE CT
Mailing Address - Street 2:
Mailing Address - City:HOUSTON
Mailing Address - State:TX
Mailing Address - Zip Code:77073-6409
Mailing Address - Country:US
Mailing Address - Phone:281-443-1432
Mailing Address - Fax:
Practice Address - Street 1:1007 STABLE SIDE CT
Practice Address - Street 2:
Practice Address - City:HOUSTON
Practice Address - State:TX
Practice Address - Zip Code:77073-6409
Practice Address - Country:US
Practice Address - Phone:281-443-1432
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:Yes
Parent Organization LBN:CDM BOXING ASSOCIATION
Parent Organization TIN:<UNAVAIL>
Enumeration Date:2012-12-31
Last Update Date:2012-12-31
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes174H00000XOther Service ProvidersHealth EducatorGroup - Single Specialty
No251K00000XAgenciesPublic Health or WelfareGroup - Single Specialty