Executive De-Tails in Grand Prairie - Contractor
Executive De-Tails - NPI 1629134440
Executive De-Tails is a Contractor in Grand Prairie, Texas. Executive De-Tails practices all healthcare services and medical treatments related to Contractor. The NPI Number for Executive De-Tails is 1629134440. The last update date is 2020-08-22.
Executive De-Tails's current location address is 2952 Celian Dr, Grand Prairie, Texas. You can contact this provider via phone number 8172475267. The mailing address for Executive De-Tails is 2952 Celian Dr, Grand Prairie, Texas. To know further, please read the information below!
Provider Profile Detail
| Provider Organization | Executive De-Tails |
|---|---|
| Address | 2952 Celian Dr, Grand Prairie, Texas |
| Phone Number | 8172475267 |
| Fax Number | |
| Sole Proprietor | -- |
| Credentials | -- |
Authorized Official
| Title or Position | CONSULTANT |
|---|---|
| Authorized Official Name | Aidelojie Mark |
| Telephone Number | 8172742284 |
NPI Number Detail
| NPI Number | 1629134440 |
|---|---|
| Provider Enumeration Date | 2006-12-28 |
| Last Updated Date | 2020-08-22 |
Provider Mailing Address Detail
| Address | 2952 Celian Dr |
|---|---|
| City | Grand Prairie |
| State | Texas (TX) |
| Post Code | 750528737 |
| Phone Number | 8172475267 |
| Fax Number |
Provider's Primary Taxonomy Detail
| Speciality | Contractor |
|---|---|
| Taxonomy | 171W00000X |
|
Definition: A person who contracts to supply certain materials or do certain work for a stipulated sum; esp., one whose business is contracting work in any of the building trades. For purposes of the taxonomy, a person who contracts to complete home repairs or m |
|
Post Comment/ Review Below
What is the unique identification code assigned to Executive De-Tails by the Centers for Medicare & Medicaid Services?
The Executive De-Tails has been issued the NPI (National Provider Identifier) 1629134440. This 10-digit code serves as a unique identifier for healthcare providers, assigned by the Centers for Medicare & Medicaid Services (CMS).
Could you please provide the complete physical location address of Executive De-Tails?
The Executive De-Tails is physically situated at 2952 Celian Dr, in the city of Grand Prairie, state of TX, with the postal code 750528737.
What is the area of specialization for Executive De-Tails, and what is the corresponding taxonomy classification code for this field?
The specialized field of practice for Executive De-Tails is Contractor, and the corresponding taxonomy code that categorizes this area of expertise is 171W00000X.
On what date did the Centers for Medicare & Medicaid Services originally issue the 1629134440 to Executive De-Tails?
The Centers for Medicare & Medicaid Services originally issued the 1629134440 to Executive De-Tails on 2006-12-28.
As of what date were the details related to Executive De-Tails most recently updated or revised?
The information pertaining to Executive De-Tails, including its address, specialty, and other relevant details, was last updated or revised on 2020-08-22.
NPI Number: 1356344279
Address: Mount St. Mary's Hospital Laboratory, Lewiston, NY