Provider Demographics
NPI:1023257482
Name:BLESSED ASSURANCE AGENCY
Entity type:Organization
Organization Name:BLESSED ASSURANCE AGENCY
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:MRS
Authorized Official - First Name:BRIDGET
Authorized Official - Middle Name:I
Authorized Official - Last Name:FAGBEYIRO
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:817-902-5320
Mailing Address - Street 1:2516 WAYNE WAY
Mailing Address - Street 2:
Mailing Address - City:GRAND PRAIRIE
Mailing Address - State:TX
Mailing Address - Zip Code:75052-7883
Mailing Address - Country:US
Mailing Address - Phone:817-902-5320
Mailing Address - Fax:972-522-1248
Practice Address - Street 1:2516 WAYNE WAY
Practice Address - Street 2:
Practice Address - City:GRAND PRAIRIE
Practice Address - State:TX
Practice Address - Zip Code:75052-7883
Practice Address - Country:US
Practice Address - Phone:817-902-5320
Practice Address - Fax:972-522-1248
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2009-02-09
Last Update Date:2009-02-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251B00000XAgenciesCase Management