Provider Demographics
NPI:1851540959
Name:PEST KING, LLC
Entity Type:Organization
Organization Name:PEST KING, LLC
Other - Org Name:PEST KING TERMITE & PEST CONTROIL
Other - Org Type:Doing Business As
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:
Authorized Official - First Name:WILLIAM
Authorized Official - Middle Name:MILES
Authorized Official - Last Name:SELF
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:713-266-5305
Mailing Address - Street 1:2800 JEANETTA ST
Mailing Address - Street 2:#2605
Mailing Address - City:HOUSTON
Mailing Address - State:TX
Mailing Address - Zip Code:77063-4049
Mailing Address - Country:US
Mailing Address - Phone:713-266-5305
Mailing Address - Fax:
Practice Address - Street 1:2800 JEANETTA ST
Practice Address - Street 2:#2605
Practice Address - City:HOUSTON
Practice Address - State:TX
Practice Address - Zip Code:77063-4049
Practice Address - Country:US
Practice Address - Phone:713-266-5305
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:Yes
Parent Organization LBN:PEST KING, LLC
Parent Organization TIN:<UNAVAIL>
Enumeration Date:2008-09-12
Last Update Date:2008-09-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TXTPCL9862251K00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251K00000XAgenciesPublic Health or Welfare
Provider Identifiers
StateIdentifier IDID TypeIssuer
TXS500294810Medicaid