Provider Demographics
NPI:1750099735
Name:RESET PLUS
Entity type:Organization
Organization Name:RESET PLUS
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:
Authorized Official - First Name:CARROLL (TAD)
Authorized Official - Middle Name:
Authorized Official - Last Name:WIGINTON
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:512-636-9571
Mailing Address - Street 1:2901 COUNTY ROAD 175
Mailing Address - Street 2:
Mailing Address - City:LEANDER
Mailing Address - State:TX
Mailing Address - Zip Code:78641-1608
Mailing Address - Country:US
Mailing Address - Phone:512-636-9571
Mailing Address - Fax:
Practice Address - Street 1:2901 COUNTY ROAD 175
Practice Address - Street 2:
Practice Address - City:LEANDER
Practice Address - State:TX
Practice Address - Zip Code:78641-1608
Practice Address - Country:US
Practice Address - Phone:512-636-9571
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2022-11-09
Last Update Date:2022-11-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QI0500XAmbulatory Health Care FacilitiesClinic/CenterInfusion Therapy
No261Q00000XAmbulatory Health Care FacilitiesClinic/Center