Healthcare Provider Details

I. General information

NPI: 1346486180
Provider Name (Legal Business Name): THREEPLEX INVESTMENT COMPANY LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 12/29/2008
Last Update Date: 01/08/2009
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

9304 FOREST LN SUITE 121
DALLAS TX
75243-6238
US

IV. Provider business mailing address

9304 FOREST LN SUITE 121
DALLAS TX
75243-6238
US

V. Phone/Fax

Practice location:
  • Phone: 214-221-2885
  • Fax: 214-221-2815
Mailing address:
  • Phone: 214-221-2885
  • Fax: 214-221-2815

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code343900000X
TaxonomyNon-emergency Medical Transport (VAN)
License NumberN/A
License Number StateTX

VIII. Authorized Official

Name: KENNY IROEGBU
Title or Position: CEO
Credential:
Phone: 214-724-5248