Healthcare Provider Details

I. General information

NPI: 1639467996
Provider Name (Legal Business Name): ACCURO, INC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 07/20/2011
Last Update Date: 07/20/2011
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

631 N STEPHANIE ST # 207
HENDERSON NV
89014-2633
US

IV. Provider business mailing address

631 N STEPHANIE ST # 207
HENDERSON NV
89014-2633
US

V. Phone/Fax

Practice location:
  • Phone: 281-462-1285
  • Fax: 281-462-1554
Mailing address:
  • Phone: 281-462-1285
  • Fax: 281-462-1554

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code246Z00000X
TaxonomyOther Specialist/Technologist
License Number
License Number State

VIII. Authorized Official

Name: KELLY DOUCET
Title or Position: BILLING DEPARTMENT
Credential:
Phone: 281-462-1285