EXTRA CREDIT LLC


Address: 8820 Business Park Dr, #300, Austin, TX 78759-7456
Phone: 5126890236

EXTRA CREDIT LLC (NPI# 1861822546) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1861822546
Entity Type Organization
Organization Name EXTRA CREDIT LLC
Practice Address 8820 Business Park Dr
#300
Austin
TX 78759-7456
Practice Telephone 5126890236
Practice Fax Number 5122012989
Mailing Telephone 5126890236
Mailing Fax Number 5122012989
Enumeration Date 2013-11-18
Last Update Date 2014-01-12
Authorized Official Name MELISSA MENZES (OWNER)
Authorized Official Telephone 5126890236
Authorized Official Credential OTR
Is Organization Subpart N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 261QR0400X Clinic/Center
Specialization: Rehabilitation
110741 TX Ambulatory Health Care Facilities

Office Location

Street Address 8820 BUSINESS PARK DR
#300
City AUSTIN
State TX
Zip Code 78759-7456

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Taxonomy Information

Taxonomy Code 261QR0400X
Grouping Ambulatory Health Care Facilities
Classification Clinic/Center
Specialization Rehabilitation

Taxonomy Definition

Definition to come...

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Competitor

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City AUSTIN
Zip Code 78759

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Dataset Information

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.

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