Provider Demographics
NPI:1184975369
Name:VEINTE VEINTE JOE BATTLE, LLC
Entity type:Organization
Organization Name:VEINTE VEINTE JOE BATTLE, LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:MR
Authorized Official - First Name:JAMIE
Authorized Official - Middle Name:FLORES
Authorized Official - Last Name:GONZALES
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:915-592-1010
Mailing Address - Street 1:8080 GATEWAY BLVD E
Mailing Address - Street 2:SUITE 101
Mailing Address - City:EL PASO
Mailing Address - State:TX
Mailing Address - Zip Code:79907-1275
Mailing Address - Country:US
Mailing Address - Phone:915-592-2020
Mailing Address - Fax:915-592-1015
Practice Address - Street 1:1830 JOE BATTLE BLVD
Practice Address - Street 2:SUITE 101
Practice Address - City:EL PASO
Practice Address - State:TX
Practice Address - Zip Code:79936-1145
Practice Address - Country:US
Practice Address - Phone:915-855-2040
Practice Address - Fax:915-855-2041
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2012-09-27
Last Update Date:2012-09-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes332H00000XSuppliersEyewear Supplier