Provider Demographics
NPI:1477792695
Name:EINSTEIN GROUP LLC
Entity Type:Organization
Organization Name:EINSTEIN GROUP LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:MANAGER
Authorized Official - Prefix:DR
Authorized Official - First Name:ROBERT
Authorized Official - Middle Name:BRUCE
Authorized Official - Last Name:GENZEL
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:817-421-2580
Mailing Address - Street 1:1305 BENT CREEK DR
Mailing Address - Street 2:
Mailing Address - City:SOUTHLAKE
Mailing Address - State:TX
Mailing Address - Zip Code:76092-9433
Mailing Address - Country:US
Mailing Address - Phone:817-421-2580
Mailing Address - Fax:
Practice Address - Street 1:1305 BENT CREEK DR
Practice Address - Street 2:
Practice Address - City:SOUTHLAKE
Practice Address - State:TX
Practice Address - Zip Code:76092-9433
Practice Address - Country:US
Practice Address - Phone:817-421-2580
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2009-02-11
Last Update Date:2009-05-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX1000244341600000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes341600000XTransportation ServicesAmbulance