Provider Demographics
NPI:1134575467
Name:NATURAL BIO HEALTH
Entity type:Organization
Organization Name:NATURAL BIO HEALTH
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:BILLING/CREDENTIALING DIRECTOR
Authorized Official - Prefix:MS
Authorized Official - First Name:KEISHA
Authorized Official - Middle Name:
Authorized Official - Last Name:RENEE
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:480-447-5736
Mailing Address - Street 1:211 RANCH ROAD 620 SOUTH
Mailing Address - Street 2:STE 220
Mailing Address - City:AUSTIN
Mailing Address - State:TX
Mailing Address - Zip Code:78734
Mailing Address - Country:US
Mailing Address - Phone:512-266-6713
Mailing Address - Fax:512-266-6714
Practice Address - Street 1:211 RANCH ROAD 620 S
Practice Address - Street 2:STE 220
Practice Address - City:LAKEWAY
Practice Address - State:TX
Practice Address - Zip Code:78734-3965
Practice Address - Country:US
Practice Address - Phone:512-266-6713
Practice Address - Fax:512-266-6714
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2016-05-05
Last Update Date:2016-05-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TXE8227174400000X
TXPA03770174400000X
TXC8968174400000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes174400000XOther Service ProvidersSpecialistGroup - Multi-Specialty