Provider Demographics
NPI:1467684712
Name:ARDEN INNOVATIONS
Entity Type:Organization
Organization Name:ARDEN INNOVATIONS
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:MR
Authorized Official - First Name:EDWARD
Authorized Official - Middle Name:S
Authorized Official - Last Name:BAXTER
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:512-930-0565
Mailing Address - Street 1:1280 COUNTY ROAD 100
Mailing Address - Street 2:
Mailing Address - City:GEORGETOWN
Mailing Address - State:TX
Mailing Address - Zip Code:78626-2255
Mailing Address - Country:US
Mailing Address - Phone:512-930-0565
Mailing Address - Fax:512-930-0565
Practice Address - Street 1:1280 COUNTY ROAD 100
Practice Address - Street 2:
Practice Address - City:GEORGETOWN
Practice Address - State:TX
Practice Address - Zip Code:78626-2255
Practice Address - Country:US
Practice Address - Phone:512-930-0565
Practice Address - Fax:512-930-0565
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2009-08-20
Last Update Date:2009-08-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes332B00000XSuppliersDurable Medical Equipment & Medical Supplies