Provider Demographics
NPI:1477707388
Name:THE ATHLETE STOP INC.
Entity Type:Organization
Organization Name:THE ATHLETE STOP INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:
Authorized Official - First Name:BRANDI
Authorized Official - Middle Name:
Authorized Official - Last Name:CHASE
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:281-599-3039
Mailing Address - Street 1:17758 KATY FWY
Mailing Address - Street 2:SUITE 4
Mailing Address - City:HOUSTON
Mailing Address - State:TX
Mailing Address - Zip Code:77094-1335
Mailing Address - Country:US
Mailing Address - Phone:281-599-3039
Mailing Address - Fax:281-599-3024
Practice Address - Street 1:17758 KATY FWY
Practice Address - Street 2:SUITE 4
Practice Address - City:HOUSTON
Practice Address - State:TX
Practice Address - Zip Code:77094-1335
Practice Address - Country:US
Practice Address - Phone:281-599-3039
Practice Address - Fax:281-599-3024
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2008-11-05
Last Update Date:2009-05-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QH0100XAmbulatory Health Care FacilitiesClinic/CenterHealth Service