Provider Demographics
NPI:1588224836
Name:RM PRIMARY PROVIDER HEALTHCARE STAFFING INC
Entity Type:Organization
Organization Name:RM PRIMARY PROVIDER HEALTHCARE STAFFING INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:MS
Authorized Official - First Name:MARIA
Authorized Official - Middle Name:V
Authorized Official - Last Name:EDQUILANG
Authorized Official - Suffix:
Authorized Official - Credentials:NP
Authorized Official - Phone:346-240-0979
Mailing Address - Street 1:2440 TEXAS PKWY STE 370E
Mailing Address - Street 2:
Mailing Address - City:MISSOURI CITY
Mailing Address - State:TX
Mailing Address - Zip Code:77489-6091
Mailing Address - Country:US
Mailing Address - Phone:346-240-0979
Mailing Address - Fax:
Practice Address - Street 1:2440 TEXAS PKWY STE 370E
Practice Address - Street 2:
Practice Address - City:MISSOURI CITY
Practice Address - State:TX
Practice Address - Zip Code:77489-6091
Practice Address - Country:US
Practice Address - Phone:346-240-0979
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2019-06-19
Last Update Date:2019-06-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes363LG0600XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerGerontologyGroup - Multi-Specialty
No363L00000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerGroup - Multi-Specialty
No363LA2200XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerAdult HealthGroup - Multi-Specialty