Provider Demographics
NPI:1821256017
Name:COMPUTER DATA PROCESSORS, LLC
Entity Type:Organization
Organization Name:COMPUTER DATA PROCESSORS, LLC
Other - Org Name:RESCOPE HEALTH MANAGEMENT GROUP, LLC
Other - Org Type:Doing Business As
Authorized Official - Title/Position:MANAGER
Authorized Official - Prefix:
Authorized Official - First Name:PAUL
Authorized Official - Middle Name:J
Authorized Official - Last Name:CROWN
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:512-692-2560
Mailing Address - Street 1:2320 N AUSTIN AVE
Mailing Address - Street 2:
Mailing Address - City:GEORGETOWN
Mailing Address - State:TX
Mailing Address - Zip Code:78626-4515
Mailing Address - Country:US
Mailing Address - Phone:512-966-8674
Mailing Address - Fax:
Practice Address - Street 1:2320 N AUSTIN AVE
Practice Address - Street 2:
Practice Address - City:GEORGETOWN
Practice Address - State:TX
Practice Address - Zip Code:78626-4515
Practice Address - Country:US
Practice Address - Phone:512-966-8674
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2008-05-25
Last Update Date:2008-05-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes302F00000XManaged Care OrganizationsExclusive Provider Organization