Provider Demographics
NPI:1841760477
Name:EASY TECH TUTORING LLC
Entity Type:Organization
Organization Name:EASY TECH TUTORING LLC
Other - Org Name:EASY TECH
Other - Org Type:Doing Business As
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:CYBAL
Authorized Official - Middle Name:A
Authorized Official - Last Name:GOODLETTE
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:346-232-5047
Mailing Address - Street 1:2902 BRIARHURST DR APT 909
Mailing Address - Street 2:
Mailing Address - City:HOUSTON
Mailing Address - State:TX
Mailing Address - Zip Code:77057-5335
Mailing Address - Country:US
Mailing Address - Phone:
Mailing Address - Fax:
Practice Address - Street 1:2902 BRIARHURST DR APT 909
Practice Address - Street 2:
Practice Address - City:HOUSTON
Practice Address - State:TX
Practice Address - Zip Code:77057-5335
Practice Address - Country:US
Practice Address - Phone:346-232-5047
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2018-11-27
Last Update Date:2018-11-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251T00000XAgenciesProgram of All-Inclusive Care for the Elderly (PACE) Provider Organization
No251K00000XAgenciesPublic Health or Welfare