Provider Demographics
NPI:1710161435
Name:HOPE HEALTH RESEARCH INC
Entity Type:Organization
Organization Name:HOPE HEALTH RESEARCH INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:ROBERT
Authorized Official - Middle Name:T
Authorized Official - Last Name:TANELLA
Authorized Official - Suffix:
Authorized Official - Credentials:DC
Authorized Official - Phone:972-390-2273
Mailing Address - Street 1:1024 S GREENVILLE AVE # 3130
Mailing Address - Street 2:
Mailing Address - City:ALLEN
Mailing Address - State:TX
Mailing Address - Zip Code:75002-3337
Mailing Address - Country:US
Mailing Address - Phone:972-390-2273
Mailing Address - Fax:972-747-1114
Practice Address - Street 1:8811 TEEL PKWY # 81
Practice Address - Street 2:
Practice Address - City:FRISCO
Practice Address - State:TX
Practice Address - Zip Code:75034-4428
Practice Address - Country:US
Practice Address - Phone:972-390-2273
Practice Address - Fax:972-747-1114
EIN:<UNAVAIL>
Is Organization Subpart?:Yes
Parent Organization LBN:HOPE HEALTH RESEARCH INC
Parent Organization TIN:<UNAVAIL>
Enumeration Date:2007-12-18
Last Update Date:2008-12-22
Deactivation Date:2008-09-23
Deactivation Code:
Reactivation Date:2008-12-17
Provider Licenses
StateLicense IDTaxonomies
TX4034111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes111N00000XChiropractic ProvidersChiropractorGroup - Multi-Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
TXT16201Medicare UPIN
TX00904ZMedicare PIN