Provider Demographics
NPI:1821653627
Name:MISSTEX HEALTHCARE CONSULTING, LLC
Entity Type:Organization
Organization Name:MISSTEX HEALTHCARE CONSULTING, LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CEO
Authorized Official - Prefix:MRS
Authorized Official - First Name:CHRISTAL
Authorized Official - Middle Name:
Authorized Official - Last Name:FORD
Authorized Official - Suffix:
Authorized Official - Credentials:BSN, RN-BC
Authorized Official - Phone:601-832-0832
Mailing Address - Street 1:10854 CHICKASHA DR
Mailing Address - Street 2:
Mailing Address - City:TYLER
Mailing Address - State:TX
Mailing Address - Zip Code:75703-7924
Mailing Address - Country:US
Mailing Address - Phone:601-832-0832
Mailing Address - Fax:
Practice Address - Street 1:10854 CHICKASHA DR
Practice Address - Street 2:
Practice Address - City:TYLER
Practice Address - State:TX
Practice Address - Zip Code:75703-7924
Practice Address - Country:US
Practice Address - Phone:601-832-0832
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2019-05-07
Last Update Date:2020-09-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes251B00000XAgenciesCase Management
No163WC0400XNursing Service ProvidersRegistered NurseCase ManagementGroup - Multi-Specialty
No251J00000XAgenciesNursing Care