Provider Demographics
NPI:1942609086
Name:ASPERMONT SMALL BUSINESS DEVELOPMENT CENTER, INC.
Entity Type:Organization
Organization Name:ASPERMONT SMALL BUSINESS DEVELOPMENT CENTER, INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:EXECUTIVE DIRECTOR
Authorized Official - Prefix:
Authorized Official - First Name:DANA
Authorized Official - Middle Name:
Authorized Official - Last Name:MYERS
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:940-989-3538
Mailing Address - Street 1:9660 US HIGHWAY 83 S
Mailing Address - Street 2:
Mailing Address - City:ASPERMONT
Mailing Address - State:TX
Mailing Address - Zip Code:79502-2220
Mailing Address - Country:US
Mailing Address - Phone:940-989-3538
Mailing Address - Fax:940-989-3445
Practice Address - Street 1:9660 US HIGHWAY 83 S
Practice Address - Street 2:
Practice Address - City:ASPERMONT
Practice Address - State:TX
Practice Address - Zip Code:79502-2220
Practice Address - Country:US
Practice Address - Phone:940-989-3538
Practice Address - Fax:940-989-3445
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2014-08-14
Last Update Date:2014-08-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NON APPLICABLE343900000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes343900000XTransportation ServicesNon-emergency Medical Transport (VAN)