Provider Demographics
NPI:1922156124
Name:COMPREHENSIVE MEDICAL SERVICES OF TEXAS,LLC
Entity Type:Organization
Organization Name:COMPREHENSIVE MEDICAL SERVICES OF TEXAS,LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:DIRECTOR
Authorized Official - Prefix:DR
Authorized Official - First Name:HAROLD
Authorized Official - Middle Name:
Authorized Official - Last Name:FROLICH
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:216-896-9301
Mailing Address - Street 1:24050 COMMERCE PARK
Mailing Address - Street 2:
Mailing Address - City:BEACHWOOD
Mailing Address - State:OH
Mailing Address - Zip Code:44122-5831
Mailing Address - Country:US
Mailing Address - Phone:216-896-9301
Mailing Address - Fax:216-896-9302
Practice Address - Street 1:1000 N DAVIS DR
Practice Address - Street 2:SUITE C
Practice Address - City:ARLINGTON
Practice Address - State:TX
Practice Address - Zip Code:76012-3202
Practice Address - Country:US
Practice Address - Phone:216-896-9301
Practice Address - Fax:216-896-9302
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-01-07
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OH1666399146D00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes146D00000XEmergency Medical Service ProvidersPersonal Emergency Response AttendantGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
OHA08043Medicare UPIN