Provider Demographics
NPI:1700025079
Name:AUGUSTUS HOLDINGS, INC.
Entity Type:Organization
Organization Name:AUGUSTUS HOLDINGS, INC.
Other - Org Name:MBF AGENCY OF DALLAS/FT. WORTH
Other - Org Type:Doing Business As
Authorized Official - Title/Position:PRESIDENT/CHIEF EXECUTIVE OFFICER
Authorized Official - Prefix:MR
Authorized Official - First Name:JAMES
Authorized Official - Middle Name:WILLIAM
Authorized Official - Last Name:WINBLOOD
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:972-446-0500
Mailing Address - Street 1:2125 N JOSEY LN STE 100
Mailing Address - Street 2:
Mailing Address - City:CARROLLTON
Mailing Address - State:TX
Mailing Address - Zip Code:75006-2997
Mailing Address - Country:US
Mailing Address - Phone:972-446-0500
Mailing Address - Fax:972-446-0888
Practice Address - Street 1:2125 N JOSEY LN STE 100
Practice Address - Street 2:
Practice Address - City:CARROLLTON
Practice Address - State:TX
Practice Address - Zip Code:75006-2997
Practice Address - Country:US
Practice Address - Phone:972-446-0500
Practice Address - Fax:972-446-0888
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2009-02-10
Last Update Date:2023-11-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes253Z00000XAgenciesIn Home Supportive Care