Provider Demographics
NPI:1629251152
Name:DRIVING AMBITION, INC.
Entity Type:Organization
Organization Name:DRIVING AMBITION, INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:FINANCIAL OFFICER
Authorized Official - Prefix:MR
Authorized Official - First Name:WILLIAM
Authorized Official - Middle Name:
Authorized Official - Last Name:BLACK
Authorized Official - Suffix:
Authorized Official - Credentials:JD
Authorized Official - Phone:915-588-5385
Mailing Address - Street 1:5601 MONTOYA DR
Mailing Address - Street 2:SUITE B
Mailing Address - City:EL PASO
Mailing Address - State:TX
Mailing Address - Zip Code:79932-2422
Mailing Address - Country:US
Mailing Address - Phone:915-584-0905
Mailing Address - Fax:877-702-5251
Practice Address - Street 1:5601 MONTOYA DR
Practice Address - Street 2:SUITE B
Practice Address - City:EL PASO
Practice Address - State:TX
Practice Address - Zip Code:79932-2422
Practice Address - Country:US
Practice Address - Phone:915-584-0905
Practice Address - Fax:877-702-5251
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-12-06
Last Update Date:2007-12-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes174400000XOther Service ProvidersSpecialistGroup - Single Specialty