Provider Demographics
NPI:1649710047
Name:TRESIS PARTNERS CORPORATION
Entity type:Organization
Organization Name:TRESIS PARTNERS CORPORATION
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:MR
Authorized Official - First Name:TATUM
Authorized Official - Middle Name:CORBETT
Authorized Official - Last Name:SINGLETARY
Authorized Official - Suffix:
Authorized Official - Credentials:CERTIFIED OPERATOR
Authorized Official - Phone:877-208-1999
Mailing Address - Street 1:6158 MULHOLLAND HWY
Mailing Address - Street 2:
Mailing Address - City:HOLLYWOOD
Mailing Address - State:CA
Mailing Address - Zip Code:90068-1644
Mailing Address - Country:US
Mailing Address - Phone:303-748-3499
Mailing Address - Fax:
Practice Address - Street 1:3875 TELEGRAPH RD
Practice Address - Street 2:SUITE J
Practice Address - City:VENTURA
Practice Address - State:CA
Practice Address - Zip Code:93003-3419
Practice Address - Country:US
Practice Address - Phone:877-208-1999
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2017-03-03
Last Update Date:2017-03-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes247200000XTechnologists, Technicians & Other Technical Service ProvidersTechnician, OtherGroup - Single Specialty