Provider Demographics
NPI:1437646825
Name:FADDEY MACERIO INC
Entity Type:Organization
Organization Name:FADDEY MACERIO INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:DIRECTOR
Authorized Official - Prefix:MR
Authorized Official - First Name:PAUL
Authorized Official - Middle Name:OKECHUKWU
Authorized Official - Last Name:IKWUEZUNMA
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:832-614-2979
Mailing Address - Street 1:951 STAFFORDALE MANOR LN
Mailing Address - Street 2:
Mailing Address - City:HOUSTON
Mailing Address - State:TX
Mailing Address - Zip Code:77047-4592
Mailing Address - Country:US
Mailing Address - Phone:832-614-2979
Mailing Address - Fax:
Practice Address - Street 1:951 STAFFORDALE MANOR LN
Practice Address - Street 2:
Practice Address - City:HOUSTON
Practice Address - State:TX
Practice Address - Zip Code:77047-4592
Practice Address - Country:US
Practice Address - Phone:832-614-2979
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2018-04-20
Last Update Date:2018-04-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes347E00000XTransportation ServicesTransportation Broker