Provider Demographics
NPI:1982379137
Name:TOPBLOOD TEXAS LLC
Entity Type:Organization
Organization Name:TOPBLOOD TEXAS LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:MANAGING MEMBER
Authorized Official - Prefix:MR
Authorized Official - First Name:ALTAF
Authorized Official - Middle Name:NIZARALI
Authorized Official - Last Name:VISRAM
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:832-788-9608
Mailing Address - Street 1:11834 LILAC VALLEY LN
Mailing Address - Street 2:
Mailing Address - City:CYPRESS
Mailing Address - State:TX
Mailing Address - Zip Code:77433-6928
Mailing Address - Country:US
Mailing Address - Phone:832-788-9608
Mailing Address - Fax:346-874-7951
Practice Address - Street 1:7830 HIGHWAY 90A
Practice Address - Street 2:
Practice Address - City:SUGAR LAND
Practice Address - State:TX
Practice Address - Zip Code:77478-2124
Practice Address - Country:US
Practice Address - Phone:832-788-9608
Practice Address - Fax:346-874-7951
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2021-08-10
Last Update Date:2021-08-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes291U00000XLaboratoriesClinical Medical Laboratory
No146D00000XEmergency Medical Service ProvidersPersonal Emergency Response AttendantGroup - Single Specialty