Provider Demographics
NPI:1669624359
Name:STAT STAFFING SOLUTIONS
Entity type:Organization
Organization Name:STAT STAFFING SOLUTIONS
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:MS
Authorized Official - First Name:TAMMY
Authorized Official - Middle Name:NELL
Authorized Official - Last Name:NARCISSE
Authorized Official - Suffix:
Authorized Official - Credentials:RRT
Authorized Official - Phone:409-833-5200
Mailing Address - Street 1:4475 SUNBURY DR
Mailing Address - Street 2:
Mailing Address - City:BEAUMONT
Mailing Address - State:TX
Mailing Address - Zip Code:77707-2318
Mailing Address - Country:US
Mailing Address - Phone:409-833-5200
Mailing Address - Fax:866-728-9868
Practice Address - Street 1:4475 SUNBURY DR.
Practice Address - Street 2:
Practice Address - City:BEAUMONT
Practice Address - State:TX
Practice Address - Zip Code:77707
Practice Address - Country:US
Practice Address - Phone:409-833-5200
Practice Address - Fax:866-728-9868
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2008-10-14
Last Update Date:2010-01-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX63952293D00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes293D00000XLaboratoriesPhysiological Laboratory
Provider Identifiers
StateIdentifier IDID TypeIssuer
TX2049538Medicaid
TXFTP012Medicare PIN