Provider Demographics
NPI:1457922676
Name:VISUAL MOODS LLC
Entity Type:Organization
Organization Name:VISUAL MOODS LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PM
Authorized Official - Prefix:
Authorized Official - First Name:KEISHA
Authorized Official - Middle Name:
Authorized Official - Last Name:SMITH
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:832-923-4938
Mailing Address - Street 1:1926 HAWTHORNE BRK
Mailing Address - Street 2:
Mailing Address - City:FRESNO
Mailing Address - State:TX
Mailing Address - Zip Code:77545-7226
Mailing Address - Country:US
Mailing Address - Phone:832-923-4938
Mailing Address - Fax:
Practice Address - Street 1:1926 HAWTHORNE BRK
Practice Address - Street 2:
Practice Address - City:FRESNO
Practice Address - State:TX
Practice Address - Zip Code:77545-7226
Practice Address - Country:US
Practice Address - Phone:832-923-4938
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2021-07-08
Last Update Date:2021-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes347E00000XTransportation ServicesTransportation Broker