Provider Demographics
NPI:1982815874
Name:AT ONCE RESPONSE SYSTEMS
Entity Type:Organization
Organization Name:AT ONCE RESPONSE SYSTEMS
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:SOLE PROPRIETOR
Authorized Official - Prefix:
Authorized Official - First Name:CHARLES
Authorized Official - Middle Name:H
Authorized Official - Last Name:BOYCE
Authorized Official - Suffix:JR
Authorized Official - Credentials:
Authorized Official - Phone:972-224-0885
Mailing Address - Street 1:1508 OSPREY DR
Mailing Address - Street 2:101
Mailing Address - City:DESOTO
Mailing Address - State:TX
Mailing Address - Zip Code:75115-2411
Mailing Address - Country:US
Mailing Address - Phone:972-224-0885
Mailing Address - Fax:972-224-7825
Practice Address - Street 1:1508 OSPREY DR
Practice Address - Street 2:101
Practice Address - City:DESOTO
Practice Address - State:TX
Practice Address - Zip Code:75115-2411
Practice Address - Country:US
Practice Address - Phone:972-224-0885
Practice Address - Fax:972-224-7825
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-05-24
Last Update Date:2008-08-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TXPP0132333300000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes333300000XSuppliersEmergency Response System Companies
Provider Identifiers
StateIdentifier IDID TypeIssuer
TX001013972Medicaid
TX001013973Medicaid