Provider Demographics
NPI:1467598342
Name:PATSY Z HASKELL
Entity Type:Organization
Organization Name:PATSY Z HASKELL
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:MS
Authorized Official - First Name:PATSY
Authorized Official - Middle Name:Z
Authorized Official - Last Name:HASKELL
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:512-419-1295
Mailing Address - Street 1:1026 CLAYTON LN APT 6206
Mailing Address - Street 2:
Mailing Address - City:AUSTIN
Mailing Address - State:TX
Mailing Address - Zip Code:78723-4222
Mailing Address - Country:US
Mailing Address - Phone:512-419-1295
Mailing Address - Fax:512-419-1295
Practice Address - Street 1:1026 CLAYTON LN APT 6206
Practice Address - Street 2:
Practice Address - City:AUSTIN
Practice Address - State:TX
Practice Address - Zip Code:78723-4222
Practice Address - Country:US
Practice Address - Phone:512-419-1295
Practice Address - Fax:512-419-1295
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-01-29
Last Update Date:2008-06-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes332B00000XSuppliersDurable Medical Equipment & Medical Supplies