Healthcare Provider Details
I. General information
NPI: 1700192515
Provider Name (Legal Business Name): COMPEVAL, LLC
Entity Type: Organization
Gender:
Sole Proprietor:
II. Dates (important events)
Enumeration Date: 08/31/2010
Last Update Date: 08/31/2010
Certification Date:
Deactivation Date:
Reactivation Date:
III. Provider practice location address
2990 RICHMOND AVE STE 520
HOUSTON TX
77098-3104
US
IV. Provider business mailing address
PO BOX 27340
HOUSTON TX
77227-7340
US
V. Phone/Fax
- Phone: 713-400-0228
- Fax: 713-400-0229
- Phone: 713-400-0228
- Fax: 713-400-0229
VI. Provider taxonomy
Scope of Practice (Provider specialty)
| # 1 | |
| Primary Taxonomy | Y |
| Taxonomy Code | 251B00000X |
| Taxonomy | Case Management Agency |
| License Number | |
| License Number State | TX |
VIII. Authorized Official
Name: MR.
JOSEPH
MARTIN
LAWLESS
JR.
Title or Position: PRESIDENT
Credential:
Phone: 713-520-0358