Provider Demographics
NPI:1720236318
Name:AMPAK SERVICES LLC
Entity Type:Organization
Organization Name:AMPAK SERVICES LLC
Other - Org Name:ALDINE HEALTHCARE
Other - Org Type:Doing Business As
Authorized Official - Title/Position:MANAGER
Authorized Official - Prefix:DR
Authorized Official - First Name:MICHAEL
Authorized Official - Middle Name:
Authorized Official - Last Name:BEYER
Authorized Official - Suffix:
Authorized Official - Credentials:DC
Authorized Official - Phone:281-999-5300
Mailing Address - Street 1:10407 NORTH FWY STE C
Mailing Address - Street 2:
Mailing Address - City:HOUSTON
Mailing Address - State:TX
Mailing Address - Zip Code:77037-1136
Mailing Address - Country:US
Mailing Address - Phone:281-999-5300
Mailing Address - Fax:
Practice Address - Street 1:10407 NORTH FWY STE C
Practice Address - Street 2:
Practice Address - City:HOUSTON
Practice Address - State:TX
Practice Address - Zip Code:77037-1136
Practice Address - Country:US
Practice Address - Phone:281-999-5300
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2008-09-08
Last Update Date:2008-09-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX8122111N00000X
TXK1619208VP0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes111N00000XChiropractic ProvidersChiropractorGroup - Multi-Specialty
No208VP0000XAllopathic & Osteopathic PhysiciansPain MedicinePain MedicineGroup - Multi-Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
TX1609878461OtherNPI
TX1609868991OtherNPI 1609868991