Organization
BRAINSTORM LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. HENRY CHONZI (MANAGING PARTNER)
(214) 580-0970
Entity
Organization
Contact information
Practice address
1400 HAWK VALLEY DR, LITTLE ELM, TX 75068-4871
(214) 580-0970
Mailing address
1400 HAWK VALLEY DR, LITTLE ELM, TX 75068-4871
(214) 580-0970
Taxonomy
Speciality
Code
Description
License number
State
343900000X
Non-emergency Medical Transport (VAN)
Primary
802342054
TX
Other
Enumeration date
12/10/2015
Last updated
12/10/2015
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