Healthcare Provider Details

I. General information

NPI: 1598634271
Provider Name (Legal Business Name): EASTWING CAPITAL VENTURES LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 11/01/2025
Last Update Date: 11/01/2025
Certification Date: 11/01/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

6831 CYPRESSWOOD DR
SPRING TX
77379-7700
US

IV. Provider business mailing address

4008 LOUETTA RD # 163
SPRING TX
77388-4405
US

V. Phone/Fax

Practice location:
  • Phone: 832-226-8900
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code376K00000X
TaxonomyNurse's Aide
License Number
License Number State

VIII. Authorized Official

Name: JASON PHILLIPS
Title or Position: OWNER
Credential:
Phone: 832-226-8900