BOYZNBERRY CORPORATION (NPI# 1447469986) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1447469986 |
| Entity Type | Organization |
| Organization Name | BOYZNBERRY CORPORATION |
| Practice Address |
4003 Calloway Dr Mansfield TX 76063-3448 |
| Practice Telephone | 8177273182 |
| Practice Fax Number | 6825185603 |
| Mailing Telephone | 8177273182 |
| Mailing Fax Number | 6825185603 |
| Enumeration Date | 2007-05-22 |
| Last Update Date | 2020-08-22 |
| Authorized Official Name | MR. STAN E BLACKBURN (PRESIDENT) |
| Authorized Official Telephone | 8177273182 |
| Authorized Official Credential | MS,PT |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 171W00000X | Contractor | 1027654 | TX | Other Service Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| TX | PHYSICAL THERAPIST | 1027654 | 01 |
| Street Address |
4003 CALLOWAY DR |
| City | MANSFIELD |
| State | TX |
| Zip Code | 76063-3448 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1780893230 | Stan E. Blackburn | Specialist | 4003 Calloway Dr, Mansfield, TX 76063-3448 | 2007-05-22 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1316558349 | Lindsey Vandyke, D.o. Pllc | Internal Medicine | 3150 E Broad Street, Ste 100, Mansfield, TX 76063 | 2020-08-13 |
| 1942819867 | Jennifer Que Chau Nguyen | Pharmacist | 980 U.S. 287 Frontage Rd #287, Mansfield, TX 76063 | 2020-07-27 |
| 1194346890 | Ana Maria Gonzalez | Dentist | 1600 Us Highway 287, Suite 102, Mansfield, TX 76063 | 2020-05-04 |
| 1245869080 | Stateserv Medical of Texas, LLC | Durable Medical Equipment & Medical Supplies | 7941 Rodeo Trail, Mansfield, TX 76063 | 2020-04-03 |
| 1649802232 | Mary Puanani Kamai | Nurse Practitioner | 1301 E. Debbie Lane, Suite 102 #1405, Mansfield, TX 76063 | 2020-02-11 |
| 1770123028 | Gladys Vera Nfodzo | Nurse Practitioner | 901 W. Broad St, Mansfield, TX 76063 | 2020-01-14 |
| 1669011300 | Alexa Smith | Nurse Practitioner | 2800 E Broad St #304, Mansfield, TX 76063 | 2019-12-28 |
| 1477190437 | Mel Rockwall LLC | Optometrist | 1701 East Broad Street, Ste 109, Mansfield, TX 76063 | 2019-12-09 |
| 1376185512 | Daniel Max & Marcandrea LLC | Optometrist | 1701 East Broad St., Ste 109, Mansfield, TX 76063 | 2019-10-09 |
| 1861046385 | Lacey Eaton | Counselor | 805 Killian Dr, Mansfield, TX 76063 | 2019-08-01 |
| Find all providers in zip 76063 | ||||
| Taxonomy Code | 171W00000X |
| Grouping | Other Service Providers |
| Classification | Contractor |
| A person who contracts to supply certain materials or do certain work for a stipulated sum; esp., one whose business is contracting work in any of the building trades. For purposes of the taxonomy, a person who contracts to complete home repairs or modifications to accommodate a health condition (e.g. wheelchair ramp, kitchen counter lowering). |
| Notes: Source: Websters New World Dictionary of the American Language, Second College Edition, William Collins + World Publishing Co., Inc., New York: 1974, p. 308 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1912513979 | Sally Jo Stigall | Contractor | 1430 Beal Rd, Mansfield, OH 44903-9220 | 2020-09-16 |
| 1598201493 | Octavia Reed | Contractor | 2505 Goodnight Trl, Mansfield, TX 76063-7565 | 2017-01-16 |
| 1083012587 | Jennifer Lynn Bright | Contractor | 155 Ford Rd N Lot 39, Mansfield, OH 44905-2984 | 2014-12-15 |
| 1710307038 | April Duncan | Contractor | 32 W Arch St, Mansfield, OH 44902-7436 | 2014-04-25 |
| 1023445467 | Mark Daniels | Contractor | 1700 Crestmeadow Ln, Mansfield, TX 76063-7929 | 2013-09-30 |
| 1528365954 | Pamela Jean Mccully | Contractor | 904 Yukon Dr, Mansfield, TX 76063-6345 | 2011-02-21 |
| 1790003531 | Zemelda D. Carr | Contractor | 1759 Broad Park Circle S., Suite 113, Mansfield, TX 76063-4234 | 2010-05-04 |
| 1528384856 | Nikki Caldwell | Contractor | 504 Circleview Dr, Mansfield, TX 76063-2144 | 2010-04-12 |
| 1164751210 | Lucia Koon | Contractor | 191 Rowland Ave, Mansfield, OH 44903-1444 | 2009-12-21 |
| 1023281854 | Amy Elizabeth Freund | Contractor | 1260 E 2200 North Rd, Mansfield, IL 61854-6883 | 2008-04-14 |
| Find all providers in MANSFIELD | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.