Provider Demographics
NPI: | 1134395791 |
---|---|
Name: | TEXAS MONITORING GROUP, LLC |
Entity type: | Organization |
Organization Name: | TEXAS MONITORING GROUP, LLC |
Other - Org Name: | |
Other - Org Type: | |
Authorized Official - Title/Position: | MANAGER |
Authorized Official - Prefix: | |
Authorized Official - First Name: | PAUL |
Authorized Official - Middle Name: | |
Authorized Official - Last Name: | SCHULMAN |
Authorized Official - Suffix: | |
Authorized Official - Credentials: | |
Authorized Official - Phone: | 214-317-4666 |
Mailing Address - Street 1: | PO BOX 678455 |
Mailing Address - Street 2: | |
Mailing Address - City: | DALLAS |
Mailing Address - State: | TX |
Mailing Address - Zip Code: | 75267-8455 |
Mailing Address - Country: | US |
Mailing Address - Phone: | 214-317-4666 |
Mailing Address - Fax: | 214-317-4667 |
Practice Address - Street 1: | 8409 PICKWICK LN # 175 |
Practice Address - Street 2: | |
Practice Address - City: | DALLAS |
Practice Address - State: | TX |
Practice Address - Zip Code: | 75225-5323 |
Practice Address - Country: | US |
Practice Address - Phone: | 214-317-4666 |
Practice Address - Fax: | 214-317-4667 |
EIN: | <UNAVAIL> |
Is Organization Subpart?: | No |
Parent Organization LBN: | |
Parent Organization TIN: | |
Enumeration Date: | 2008-05-05 |
Last Update Date: | 2009-08-10 |
Deactivation Date: | |
Deactivation Code: | |
Reactivation Date: |
Provider Taxonomies
Primary? | Code | Type | Classification | Specialization | Group |
---|---|---|---|---|---|
Yes | 246ZS0410X | Technologists, Technicians & Other Technical Service Providers | Specialist/Technologist, Other | Surgical Technologist | Group - Single Specialty |