Provider Demographics
NPI:1770282006
Name:ROYAL IV DRIP LLC
Entity type:Organization
Organization Name:ROYAL IV DRIP LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:NURSE PRACTITIONER
Authorized Official - Prefix:
Authorized Official - First Name:MARTHA
Authorized Official - Middle Name:N
Authorized Official - Last Name:AKINBILE
Authorized Official - Suffix:
Authorized Official - Credentials:MSN
Authorized Official - Phone:832-834-3830
Mailing Address - Street 1:6666 HARWIN DR STE 157
Mailing Address - Street 2:
Mailing Address - City:HOUSTON
Mailing Address - State:TX
Mailing Address - Zip Code:77036-2546
Mailing Address - Country:US
Mailing Address - Phone:832-834-3830
Mailing Address - Fax:
Practice Address - Street 1:6666 HARWIN DR STE 157
Practice Address - Street 2:
Practice Address - City:HOUSTON
Practice Address - State:TX
Practice Address - Zip Code:77036-2546
Practice Address - Country:US
Practice Address - Phone:832-834-3830
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2023-02-24
Last Update Date:2023-02-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QI0500XAmbulatory Health Care FacilitiesClinic/CenterInfusion Therapy
No261QM2500XAmbulatory Health Care FacilitiesClinic/CenterMedical Specialty
No261Q00000XAmbulatory Health Care FacilitiesClinic/Center