Organization Name: | CPR MEDICAL GROUP PA |
NPI Number: | 1316226459 |
Entity Type Code: | Organizational (2) |
Authorized Official Name: | DONNIE EVANS (PRESIDENT) |
Mailing Address: | 921 Fm 1960 Rd W Suite 115 B Houston |
State: | TX US |
Postal Code: | 770902505 |
Phone Number: | 2814407246 |
Fax Number: | 2814407248 |
NPI Enumeration Date: | 08/08/2011 |
NPI Last Update Date: | 01/04/2012 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 101Y00000X |
License Number: | H5705 |
Healthcare Provider Taxonomy: (Secondary) | N |
State: | TX |
Taxonomy Type: | Behavioral Health & Social Service Providers |
Taxonomy Classification: | Counselor |
Taxonomy Specialization: | |
Taxonomy Definition: | A provider who is trained and educated in the performance of behavior health services through interpersonal communications and analysis. Training and education at the specialty level usually requires a master |