Provider Demographics
NPI:1619522448
Name:ASPIRE TX CASE MANAGEMENT
Entity Type:Organization
Organization Name:ASPIRE TX CASE MANAGEMENT
Other - Org Name:ASPIRE TX CASE MANAGEMENT
Other - Org Type:Doing Business As
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:MRS
Authorized Official - First Name:PAMELA
Authorized Official - Middle Name:
Authorized Official - Last Name:PATTERSON
Authorized Official - Suffix:
Authorized Official - Credentials:RN
Authorized Official - Phone:281-660-0775
Mailing Address - Street 1:18853 HARBOR SIDE BLVD
Mailing Address - Street 2:
Mailing Address - City:MONTGOMERY
Mailing Address - State:TX
Mailing Address - Zip Code:77356-3223
Mailing Address - Country:US
Mailing Address - Phone:281-660-0774
Mailing Address - Fax:
Practice Address - Street 1:18853 HARBOR SIDE BLVD
Practice Address - Street 2:
Practice Address - City:MONTGOMERY
Practice Address - State:TX
Practice Address - Zip Code:77356-3223
Practice Address - Country:US
Practice Address - Phone:281-660-0774
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2019-08-08
Last Update Date:2019-08-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251B00000XAgenciesCase Management