Provider Demographics
NPI:1518634922
Name:HUDDLENURSE
Entity Type:Organization
Organization Name:HUDDLENURSE
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CEO
Authorized Official - Prefix:
Authorized Official - First Name:SHANDA
Authorized Official - Middle Name:N
Authorized Official - Last Name:BROWN
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:737-808-5898
Mailing Address - Street 1:1400 WESTINGHOUSE RD APT 5013
Mailing Address - Street 2:
Mailing Address - City:GEORGETOWN
Mailing Address - State:TX
Mailing Address - Zip Code:78626-2380
Mailing Address - Country:US
Mailing Address - Phone:737-808-5898
Mailing Address - Fax:806-375-3200
Practice Address - Street 1:613 N ELKHART AVE APT A
Practice Address - Street 2:
Practice Address - City:LUBBOCK
Practice Address - State:TX
Practice Address - Zip Code:79416-1446
Practice Address - Country:US
Practice Address - Phone:737-808-5898
Practice Address - Fax:806-375-3200
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2021-08-24
Last Update Date:2021-08-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes291U00000XLaboratoriesClinical Medical Laboratory