Provider Demographics
NPI:1619324977
Name:POINDEXTER REIMBURSEMENT GROUP
Entity Type:Organization
Organization Name:POINDEXTER REIMBURSEMENT GROUP
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:REIMBURSEMENT SPECIALIST
Authorized Official - Prefix:MS
Authorized Official - First Name:O'SHANDA
Authorized Official - Middle Name:CHARLESETTE
Authorized Official - Last Name:POINDEXTER
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:713-505-4459
Mailing Address - Street 1:1706 CARRIAGE RUN CT
Mailing Address - Street 2:
Mailing Address - City:FRESNO
Mailing Address - State:TX
Mailing Address - Zip Code:77545-5312
Mailing Address - Country:US
Mailing Address - Phone:713-505-4459
Mailing Address - Fax:185-551-2822
Practice Address - Street 1:1706 CARRIAGE RUN CT
Practice Address - Street 2:
Practice Address - City:FRESNO
Practice Address - State:TX
Practice Address - Zip Code:77545-8700
Practice Address - Country:US
Practice Address - Phone:713-505-4459
Practice Address - Fax:185-551-2822
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2016-05-17
Last Update Date:2017-03-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX174400000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes174400000XOther Service ProvidersSpecialistGroup - Single Specialty