Healthcare Provider Details

I. General information

NPI: 1083971188
Provider Name (Legal Business Name): EXQUISITE CONCEPTS CONSULTING SERVICES
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 04/13/2012
Last Update Date: 05/18/2012
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

101 EUCALYPTUS ST 4201
LAKE JACKSON TX
77566-4652
US

IV. Provider business mailing address

101 EUCALYPTUS STREET 4201
LAKE JACKSON TX
77566-4734
US

V. Phone/Fax

Practice location:
  • Phone: 206-424-0587
  • Fax: 888-723-1016
Mailing address:
  • Phone: 206-424-0587
  • Fax: 888-723-1016

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code1744R1103X
TaxonomyResearch Study Abstracter/Coder
License Number
License Number State

VIII. Authorized Official

Name: MS. DENISE LA FLEUR
Title or Position: MEDICAL BILLING/CODER
Credential:
Phone: 206-424-0587