Provider Demographics
NPI:1649565250
Name:PATHPOINTS, INC.
Entity Type:Organization
Organization Name:PATHPOINTS, INC.
Other - Org Name:PATHPOINTS TO WELLNESS
Other - Org Type:Doing Business As
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:MRS
Authorized Official - First Name:GARRETA
Authorized Official - Middle Name:L
Authorized Official - Last Name:KIPP
Authorized Official - Suffix:
Authorized Official - Credentials:MAOM, LAC
Authorized Official - Phone:832-216-1810
Mailing Address - Street 1:PO BOX 943
Mailing Address - Street 2:
Mailing Address - City:FULSHEAR
Mailing Address - State:TX
Mailing Address - Zip Code:77441-0943
Mailing Address - Country:US
Mailing Address - Phone:832-216-1810
Mailing Address - Fax:
Practice Address - Street 1:8539 BOIS D ARC LN
Practice Address - Street 2:
Practice Address - City:RICHMOND
Practice Address - State:TX
Practice Address - Zip Code:77406-9762
Practice Address - Country:US
Practice Address - Phone:832-216-1810
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2011-06-10
Last Update Date:2011-06-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TXAC00910261QM1300X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QM1300XAmbulatory Health Care FacilitiesClinic/CenterMulti-Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
TXAC00910OtherTEXAS ACUPUNCTURE LICENSE