Provider Demographics
NPI:1740534882
Name:ALL ACCESS HEALTHCARE GROUP
Entity type:Organization
Organization Name:ALL ACCESS HEALTHCARE GROUP
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OFFICE MANAGER
Authorized Official - Prefix:
Authorized Official - First Name:BRANDIE
Authorized Official - Middle Name:ELYSE
Authorized Official - Last Name:BROUSSARD
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:832-248-2559
Mailing Address - Street 1:1712 N FRAZIER ST
Mailing Address - Street 2:STE 213
Mailing Address - City:CONROE
Mailing Address - State:TX
Mailing Address - Zip Code:77301-1347
Mailing Address - Country:US
Mailing Address - Phone:832-248-2559
Mailing Address - Fax:
Practice Address - Street 1:1712 N FRAZIER ST
Practice Address - Street 2:STE 213
Practice Address - City:CONROE
Practice Address - State:TX
Practice Address - Zip Code:77301-1347
Practice Address - Country:US
Practice Address - Phone:832-248-2559
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2012-10-26
Last Update Date:2012-10-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TXF1285174400000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes174400000XOther Service ProvidersSpecialistGroup - Multi-Specialty