NPI Code Details Logo

NPI 1063867414

NPI 1063867414 : GET INSURED 75 : PLANO, TX

=====================================================
General NPI Number Information
=====================================================
    NPI Number           |    1063867414
-----------------------------------------------------
    Entity Type          |    Organization 
-----------------------------------------------------
    Legal Business Name  |    GET INSURED 75 
-----------------------------------------------------

=====================================================
Dates
=====================================================
    Enumeration Date     |    05/03/2016
-----------------------------------------------------
    Last Update Date     |    05/03/2016
-----------------------------------------------------

=====================================================
Provider Practice Location Address
=====================================================
    Address Line         |    4595 W SPRING CREEK PKWY APT 3814 
-----------------------------------------------------
    City                 |    PLANO
-----------------------------------------------------
    State                |    TX
-----------------------------------------------------
    Zip                  |    75024-5249
-----------------------------------------------------
    Country              |    US
-----------------------------------------------------
    Telephone            |    214-888-6891
-----------------------------------------------------
    Fax                  |    
-----------------------------------------------------

=====================================================
Provider Business Mailing Address
=====================================================
    Address Line         |    4595 W SPRING CREEK PKWY APT 3814 
-----------------------------------------------------
    City                 |    PLANO
-----------------------------------------------------
    State                |    TX
-----------------------------------------------------
    Zip                  |    75024-5249
-----------------------------------------------------
    Country              |    US
-----------------------------------------------------
    Telephone            |    214-888-6891
-----------------------------------------------------
    Fax                  |    
-----------------------------------------------------

=====================================================
Authorized Official
=====================================================
    Title or Position    |    AGENCY OWNER
-----------------------------------------------------
    Name                 |     RONALD  CARRITHERS 
-----------------------------------------------------
    Credential           |    
-----------------------------------------------------
    Telephone            |    214-888-6891
-----------------------------------------------------

=====================================================
Scope of Practice (Provider's specialty)
=====================================================
Taxonomy #1
-----------------------------------------------------
    Taxonomy Code        |    251X00000X
-----------------------------------------------------
    Taxonomy Name        |    Supports Brokerage Agency
-----------------------------------------------------
    License Number       |    
-----------------------------------------------------
    License Number State |    TX
-----------------------------------------------------



                        

Copyright © 2007-2026 Data Labs Health. All rights reserved.