Provider Demographics
NPI:1619577285
Name:GLOBAL GENERATIONS HYPERBARICS LLC
Entity Type:Organization
Organization Name:GLOBAL GENERATIONS HYPERBARICS LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:MANAGER
Authorized Official - Prefix:
Authorized Official - First Name:OTIS
Authorized Official - Middle Name:ROBERT
Authorized Official - Last Name:DAVIS
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:972-816-5969
Mailing Address - Street 1:1500 WATERS RIDGE DR STE 200
Mailing Address - Street 2:
Mailing Address - City:LEWISVILLE
Mailing Address - State:TX
Mailing Address - Zip Code:75057-6056
Mailing Address - Country:US
Mailing Address - Phone:972-816-5969
Mailing Address - Fax:
Practice Address - Street 1:3716 STANDRIDGE DR
Practice Address - Street 2:
Practice Address - City:THE COLONY
Practice Address - State:TX
Practice Address - Zip Code:75056-4566
Practice Address - Country:US
Practice Address - Phone:972-816-5969
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2020-10-31
Last Update Date:2020-10-31
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261Q00000XAmbulatory Health Care FacilitiesClinic/Center