Provider Demographics
NPI:1598233405
Name:MYCEO INTERNATIONAL, INC
Entity Type:Organization
Organization Name:MYCEO INTERNATIONAL, INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CEO
Authorized Official - Prefix:
Authorized Official - First Name:MALCOLM
Authorized Official - Middle Name:
Authorized Official - Last Name:ALLEN
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:469-785-5951
Mailing Address - Street 1:13901 MIDWAY RD # 102-113
Mailing Address - Street 2:
Mailing Address - City:DALLAS
Mailing Address - State:TX
Mailing Address - Zip Code:75244-4359
Mailing Address - Country:US
Mailing Address - Phone:469-785-5951
Mailing Address - Fax:
Practice Address - Street 1:4651 S CUSTER RD APT 3103
Practice Address - Street 2:
Practice Address - City:MCKINNEY
Practice Address - State:TX
Practice Address - Zip Code:75070-8120
Practice Address - Country:US
Practice Address - Phone:469-785-5951
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2018-11-08
Last Update Date:2018-11-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes174200000XOther Service ProvidersMeals
No171W00000XOther Service ProvidersContractorGroup - Multi-Specialty
No251V00000XAgenciesVoluntary or Charitable
No251X00000XAgenciesSupports Brokerage
No252Y00000XAgenciesEarly Intervention Provider Agency
No253Z00000XAgenciesIn Home Supportive Care
No332H00000XSuppliersEyewear Supplier
No332S00000XSuppliersHearing Aid Equipment
No333300000XSuppliersEmergency Response System Companies
No347E00000XTransportation ServicesTransportation Broker