Organization Name: | HEALTHY SCHOOLS TEXAS PLLC |
NPI Number: | 1306291620 |
Entity Type Code: | Organizational (2) |
Authorized Official Name: | TONY BOSELLI (PRESIDENT) |
Mailing Address: | 9415 Burnet Rd Ste 309b Austin |
State: | TX US |
Postal Code: | 787585255 |
Phone Number: | 5126000748 |
Fax Number: | |
NPI Enumeration Date: | 04/25/2016 |
NPI Last Update Date: | 04/25/2016 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 208D00000X |
License Number: | |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | |
Taxonomy Type: | Allopathic & Osteopathic Physicians |
Taxonomy Classification: | General Practice |
Taxonomy Specialization: | |
Taxonomy Definition: |