Provider Demographics
NPI:1336855907
Name:ARISTOCATZ LLC
Entity Type:Organization
Organization Name:ARISTOCATZ LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CEO
Authorized Official - Prefix:MS
Authorized Official - First Name:WENDY
Authorized Official - Middle Name:NICOLETTE
Authorized Official - Last Name:ERVIN
Authorized Official - Suffix:
Authorized Official - Credentials:MEDICAL SUPPLIER
Authorized Official - Phone:469-862-7307
Mailing Address - Street 1:1810 COMMERCE ST APT 511
Mailing Address - Street 2:
Mailing Address - City:DALLAS
Mailing Address - State:TX
Mailing Address - Zip Code:75201-5383
Mailing Address - Country:US
Mailing Address - Phone:469-862-7307
Mailing Address - Fax:
Practice Address - Street 1:8355 WALNUT HILL LN STE 200
Practice Address - Street 2:
Practice Address - City:DALLAS
Practice Address - State:TX
Practice Address - Zip Code:75231-4243
Practice Address - Country:US
Practice Address - Phone:469-464-8418
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:Yes
Parent Organization LBN:ARISTOCATZ LLC
Parent Organization TIN:<UNAVAIL>
Enumeration Date:2023-01-26
Last Update Date:2023-01-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes332B00000XSuppliersDurable Medical Equipment & Medical Supplies