Provider Demographics
NPI:1780213124
Name:RED OCEAN LLC
Entity Type:Organization
Organization Name:RED OCEAN LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CEO
Authorized Official - Prefix:MR
Authorized Official - First Name:CECIL
Authorized Official - Middle Name:ANTHONY
Authorized Official - Last Name:BOYCE
Authorized Official - Suffix:II
Authorized Official - Credentials:
Authorized Official - Phone:214-985-9004
Mailing Address - Street 1:2525 EMPIRE DR APT 4144
Mailing Address - Street 2:
Mailing Address - City:RICHARDSON
Mailing Address - State:TX
Mailing Address - Zip Code:75080-0104
Mailing Address - Country:US
Mailing Address - Phone:214-985-9004
Mailing Address - Fax:
Practice Address - Street 1:1900 JAY ELL DR
Practice Address - Street 2:
Practice Address - City:RICHARDSON
Practice Address - State:TX
Practice Address - Zip Code:75081-1838
Practice Address - Country:US
Practice Address - Phone:214-985-9004
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2020-04-07
Last Update Date:2020-04-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QH0100XAmbulatory Health Care FacilitiesClinic/CenterHealth Service