Provider Demographics
NPI:1699400176
Name:ABSOLUTE HEALTH & PERFORMANCE, INC
Entity Type:Organization
Organization Name:ABSOLUTE HEALTH & PERFORMANCE, INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:COO
Authorized Official - Prefix:MR
Authorized Official - First Name:JASON
Authorized Official - Middle Name:EDWARD
Authorized Official - Last Name:BELVILL
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:719-360-6500
Mailing Address - Street 1:5555 N LAMAR BLVD STE L131
Mailing Address - Street 2:
Mailing Address - City:AUSTIN
Mailing Address - State:TX
Mailing Address - Zip Code:78751-1068
Mailing Address - Country:US
Mailing Address - Phone:719-360-6500
Mailing Address - Fax:
Practice Address - Street 1:5555 N LAMAR BLVD STE L131
Practice Address - Street 2:
Practice Address - City:AUSTIN
Practice Address - State:TX
Practice Address - Zip Code:78751-1068
Practice Address - Country:US
Practice Address - Phone:719-360-6500
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2022-07-19
Last Update Date:2022-08-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261Q00000XAmbulatory Health Care FacilitiesClinic/Center