Provider Demographics
NPI:1649738295
Name:REWEEAKS, INC.
Entity Type:Organization
Organization Name:REWEEAKS, INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:
Authorized Official - First Name:RACHEL
Authorized Official - Middle Name:
Authorized Official - Last Name:WEEAKS
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:254-754-4327
Mailing Address - Street 1:5301 BOSQUE BLVD STE 100
Mailing Address - Street 2:
Mailing Address - City:WACO
Mailing Address - State:TX
Mailing Address - Zip Code:76710-4444
Mailing Address - Country:US
Mailing Address - Phone:254-754-4327
Mailing Address - Fax:254-754-6525
Practice Address - Street 1:5301 BOSQUE BLVD STE 100
Practice Address - Street 2:
Practice Address - City:WACO
Practice Address - State:TX
Practice Address - Zip Code:76710-4444
Practice Address - Country:US
Practice Address - Phone:254-754-4327
Practice Address - Fax:254-754-6525
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2019-03-03
Last Update Date:2019-03-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QH0700XAmbulatory Health Care FacilitiesClinic/CenterHearing and Speech