Provider Demographics
NPI:1134564362
Name:INTACT PATHWAYS, INC.
Entity type:Organization
Organization Name:INTACT PATHWAYS, INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:MR
Authorized Official - First Name:STEVEN
Authorized Official - Middle Name:
Authorized Official - Last Name:PURDON
Authorized Official - Suffix:
Authorized Official - Credentials:CNIM
Authorized Official - Phone:832-585-3897
Mailing Address - Street 1:PO BOX 73126
Mailing Address - Street 2:
Mailing Address - City:HOUSTON
Mailing Address - State:TX
Mailing Address - Zip Code:77273-3126
Mailing Address - Country:US
Mailing Address - Phone:855-694-6626
Mailing Address - Fax:855-694-6626
Practice Address - Street 1:4830 W KENNEDY BLVD
Practice Address - Street 2:SUITE 600
Practice Address - City:TAMPA
Practice Address - State:FL
Practice Address - Zip Code:33609-2564
Practice Address - Country:US
Practice Address - Phone:855-694-6626
Practice Address - Fax:855-694-6626
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2013-05-01
Last Update Date:2014-06-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes246ZE0600XTechnologists, Technicians & Other Technical Service ProvidersSpecialist/Technologist, OtherElectroneurodiagnosticGroup - Single Specialty