Organization · Type 2 NPI

Executive De-Tails

Contractor · Grand Prairie, TX

NPI number 1629134440 Active

Practice location

2952 Celian Dr
Grand Prairie, TX 75052-8737

Specialties and licenses

TaxonomyCodeLicense
Contractor Primary 171W00000XNone listed

Contractor: For the purposes of the Health Care Provider Taxonomy, a contractor is limited to individuals who do construction or mechanical work to modify a patient's environment to accommodate a health condition. Contractors perform projects including, but not limited to, building wheelchair ramps, widening doorways, modifying personal vehicles, and making other improvements for patient access and movement. This code has no re…

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About NPI 1629134440

Executive De-Tails's National Provider Identifier is 1629134440, issued on Dec 28, 2006. The primary taxonomy on file is Contractor (171W00000X), and the practice location is in Grand Prairie, TX. The record was last updated on Aug 22, 2020.