Provider Demographics
NPI:1780909994
Name:OCCUPATIONAL HEALTH AND SAFETY INTERNATIONAL
Entity type:Organization
Organization Name:OCCUPATIONAL HEALTH AND SAFETY INTERNATIONAL
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:MANAGING DIRECTOR
Authorized Official - Prefix:MR
Authorized Official - First Name:DUSTIN
Authorized Official - Middle Name:WAYNE
Authorized Official - Last Name:HOFFPAUIR
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:281-755-6166
Mailing Address - Street 1:4714 FM 1488 RD STE 124
Mailing Address - Street 2:
Mailing Address - City:CONROE
Mailing Address - State:TX
Mailing Address - Zip Code:77384-4929
Mailing Address - Country:US
Mailing Address - Phone:832-432-2030
Mailing Address - Fax:832-432-2035
Practice Address - Street 1:9201 STATE HIGHWAY 302
Practice Address - Street 2:
Practice Address - City:MENTONE
Practice Address - State:TX
Practice Address - Zip Code:79754
Practice Address - Country:US
Practice Address - Phone:432-923-7052
Practice Address - Fax:432-923-7053
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2010-03-30
Last Update Date:2020-08-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX10004153416L0300X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes3416L0300XTransportation ServicesAmbulanceLand Transport
Provider Identifiers
StateIdentifier IDID TypeIssuer
TX212577501Medicaid
TXAMB1004Medicare PIN