Provider Demographics
NPI:1982217436
Name:MANN ON THE RUN
Entity Type:Organization
Organization Name:MANN ON THE RUN
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:MRS
Authorized Official - First Name:TAMIKA
Authorized Official - Middle Name:A
Authorized Official - Last Name:PIERSON-BOOTY
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:713-927-3158
Mailing Address - Street 1:4747 RESEARCH FOREST DR STE 180182
Mailing Address - Street 2:
Mailing Address - City:THE WOODLANDS
Mailing Address - State:TX
Mailing Address - Zip Code:77381-4912
Mailing Address - Country:US
Mailing Address - Phone:713-927-3158
Mailing Address - Fax:
Practice Address - Street 1:4747 RESEARCH FOREST DR STE 180182
Practice Address - Street 2:
Practice Address - City:THE WOODLANDS
Practice Address - State:TX
Practice Address - Zip Code:77381-4912
Practice Address - Country:US
Practice Address - Phone:713-927-3158
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2020-08-25
Last Update Date:2020-08-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes172A00000XOther Service ProvidersDriverGroup - Single Specialty