Genprov Llc
LBN: Genprov Llc
Genprov Llc is an health care organization with primary practice located at 2301 Harbor Chase Drive , Pearland TX 77584. The organization recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Emergency Medicine, Allopathic & Osteopathic Physicians / Internal Medicine. Allopathic & Osteopathic Physicians / Emergency Medicine is the primary health care specialty.
Genprov Llc can be contacted via phone (404) 441-8752, or through Olade, Roger via phone (404) 441-8752.
Contact Information
Primary practice address
2301 Harbor Chase Drive
Pearland TX 77584
Phone: (404) 441-8752
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Emergency Medicine | 207P00000X | Q2173 | Texas |
| Allopathic & Osteopathic Physicians / Internal Medicine | 207R00000X | Q2173 | Texas |
Profile Details
| NPI number | 1487141032 |
|---|---|
| LBN Legal business name | Genprov Llc |
| DBA Doing business as | |
| Authorized official | Olade, Roger Doctor of Medicine (MD) |
| Entity | Organization |
| Organization subpart 1 | No |
| Enumeration date | Apr 19th, 2018 |
| Last updated | Apr 19th, 2018 - about 6 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1487141032 | NPPES |
| Texas | Other | Q2173 | TEXAS MEDICAL BOARD |
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