Provider Demographics
NPI:1659902526
Name:MIMSHACH TAX SERVICES, LLC
Entity Type:Organization
Organization Name:MIMSHACH TAX SERVICES, LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:MANAGING DIRECTOR
Authorized Official - Prefix:
Authorized Official - First Name:BOB
Authorized Official - Middle Name:
Authorized Official - Last Name:NTUAREMBA LEYO
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:214-773-8957
Mailing Address - Street 1:11545 HENDERSON DR
Mailing Address - Street 2:
Mailing Address - City:FRISCO
Mailing Address - State:TX
Mailing Address - Zip Code:75035-8854
Mailing Address - Country:US
Mailing Address - Phone:214-773-8957
Mailing Address - Fax:
Practice Address - Street 1:11545 HENDERSON DR
Practice Address - Street 2:
Practice Address - City:FRISCO
Practice Address - State:TX
Practice Address - Zip Code:75035-8854
Practice Address - Country:US
Practice Address - Phone:214-773-8957
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2020-01-30
Last Update Date:2020-01-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes347E00000XTransportation ServicesTransportation Broker