Azleway Boys Ranch

LBN: Azleway Inc.
Azleway Boys Ranch is an health care organization with primary practice located at 15892 County Road 26 , Tyler TX 75707-2728. The organization recently has only one registered license in Agencies / Case Management, which is considered as the primary health care specialty. Azleway Inc. can be contacted via phone (903) 566-8444, or through Booker, Steven via phone (903) 566-8444.

Contact Information

Primary practice address
15892 County Road 26 Tyler TX 75707-2728
Phone: (903) 566-8444
Fax: (903) 566-7696
Website:
Map and Directions
Authorized official contact:
Name: Booker, Steven
Phone: (903) 566-8444

Health care specialties

SpecialtyCodeLicense #State
Agencies / Case Management 251B00000X 622680-01 Texas

Profile Details

NPI number 1356537377
LBN Legal business name Azleway Inc.
DBA Doing business as Azleway Boys Ranch
Authorized official Booker, Steven
Entity Organization
Organization subpart 1 No
Enumeration date Sep 24th, 2007
Last updated Oct 9th, 2007 - about 17 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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Identifiers

StateTypeNumberIssuer
All States NPI 1356537377 NPPES
Texas MEDICAID 108347902
Texas MEDICAID 108347901

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