Provider Demographics
NPI:1659078830
Name:GENIX CONSULTING LLC
Entity Type:Organization
Organization Name:GENIX CONSULTING LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CEO
Authorized Official - Prefix:
Authorized Official - First Name:MIRZA TAHA AHMED
Authorized Official - Middle Name:
Authorized Official - Last Name:BAIG
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:972-833-7486
Mailing Address - Street 1:7934 N GLEN DR APT 3069
Mailing Address - Street 2:
Mailing Address - City:IRVING
Mailing Address - State:TX
Mailing Address - Zip Code:75063-7282
Mailing Address - Country:US
Mailing Address - Phone:972-833-7486
Mailing Address - Fax:
Practice Address - Street 1:7934 N GLEN DR APT 3069
Practice Address - Street 2:
Practice Address - City:IRVING
Practice Address - State:TX
Practice Address - Zip Code:75063-7282
Practice Address - Country:US
Practice Address - Phone:972-833-7486
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2023-02-08
Last Update Date:2023-02-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251S00000XAgenciesCommunity/Behavioral Health