Provider Demographics
NPI:1841745874
Name:ACADEMIC HEALTHPLANS
Entity Type:Organization
Organization Name:ACADEMIC HEALTHPLANS
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:SVP CHIEF OPERATING OFFICER
Authorized Official - Prefix:MR
Authorized Official - First Name:BRETT
Authorized Official - Middle Name:PATRICK
Authorized Official - Last Name:CURRAN
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:817-809-4700
Mailing Address - Street 1:3500 WILLIAM D TATE AVE
Mailing Address - Street 2:SUITE 200
Mailing Address - City:GRAPEVINE
Mailing Address - State:TX
Mailing Address - Zip Code:76051-8749
Mailing Address - Country:US
Mailing Address - Phone:817-809-4700
Mailing Address - Fax:817-809-4701
Practice Address - Street 1:3500 WILLIAM D TATE AVE
Practice Address - Street 2:SUITE 200
Practice Address - City:GRAPEVINE
Practice Address - State:TX
Practice Address - Zip Code:76051-8749
Practice Address - Country:US
Practice Address - Phone:817-809-4700
Practice Address - Fax:817-809-4701
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2016-08-19
Last Update Date:2016-08-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251B00000XAgenciesCase Management