Provider Demographics
NPI:1487197976
Name:GUARDIAN RPM USA
Entity Type:Organization
Organization Name:GUARDIAN RPM USA
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CEO
Authorized Official - Prefix:MR
Authorized Official - First Name:TIMOTHY
Authorized Official - Middle Name:RYAN
Authorized Official - Last Name:BILBREY
Authorized Official - Suffix:
Authorized Official - Credentials:MBA
Authorized Official - Phone:214-274-4482
Mailing Address - Street 1:6800 WEISKOPF AVE
Mailing Address - Street 2:STE 150
Mailing Address - City:MCKINNEY
Mailing Address - State:TX
Mailing Address - Zip Code:75070-5242
Mailing Address - Country:US
Mailing Address - Phone:888-801-5675
Mailing Address - Fax:877-922-4348
Practice Address - Street 1:6800 WEISKOPF AVE
Practice Address - Street 2:STE 150
Practice Address - City:MCKINNEY
Practice Address - State:TX
Practice Address - Zip Code:75070-5242
Practice Address - Country:US
Practice Address - Phone:888-801-5675
Practice Address - Fax:877-922-4348
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2016-12-01
Last Update Date:2016-12-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX1346696770174H00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes174H00000XOther Service ProvidersHealth EducatorGroup - Multi-Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
TX1346696770OtherNPI 1