Cerulean Koi Llc

LBN: Cerulean Koi Llc
Cerulean Koi Llc is an health care organization with primary practice located at 110 W Randol Mill Rd Ste 243 , Arlington TX 76011-4611. The organization recently has only one registered license in Ambulatory Health Care Facilities / Health Service, which is considered as the primary health care specialty. Cerulean Koi Llc can be contacted via phone (682) 477-3756, or through Bynaum, Brenda via phone (682) 477-3756.

Contact Information

Primary practice address
110 W Randol Mill Rd Ste 243 Arlington TX 76011-4611
Phone: (682) 477-3756
Fax: (469) 833-4712
Website:
Map and Directions
Authorized official contact:
Name: Bynaum, Brenda
Phone: (682) 477-3756

Health care specialties

SpecialtyCodeLicense #State
Ambulatory Health Care Facilities / Health Service 261QH0100X

Profile Details

NPI number 1700624004
LBN Legal business name Cerulean Koi Llc
DBA Doing business as
Authorized official Bynaum, Brenda
Entity Organization
Organization subpart 1 No
Enumeration date Jul 19th, 2024
Last updated Jul 19th, 2024 - about last year

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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