Provider Demographics
NPI:1669922472
Name:AU MONITORING LLC
Entity type:Organization
Organization Name:AU MONITORING LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:ADMINISTRATOR
Authorized Official - Prefix:
Authorized Official - First Name:PARINDA
Authorized Official - Middle Name:
Authorized Official - Last Name:FRUCHTMAN
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:972-213-8804
Mailing Address - Street 1:PO BOX 833325
Mailing Address - Street 2:
Mailing Address - City:RICHARDSON
Mailing Address - State:TX
Mailing Address - Zip Code:75083-3325
Mailing Address - Country:US
Mailing Address - Phone:972-213-8804
Mailing Address - Fax:
Practice Address - Street 1:7445 LAS COLINAS BLVD
Practice Address - Street 2:
Practice Address - City:IRVING
Practice Address - State:TX
Practice Address - Zip Code:75063-7561
Practice Address - Country:US
Practice Address - Phone:972-213-8804
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2016-10-05
Last Update Date:2016-10-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX633146367H00000X
TX692757367H00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes367H00000XPhysician Assistants & Advanced Practice Nursing ProvidersAnesthesiologist AssistantGroup - Single Specialty