Provider Demographics
NPI:1063741122
Name:ONE STOP SERVICES CORP
Entity type:Organization
Organization Name:ONE STOP SERVICES CORP
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:MR
Authorized Official - First Name:JESUS
Authorized Official - Middle Name:
Authorized Official - Last Name:RODRIGUEZ
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:713-417-4121
Mailing Address - Street 1:PO BOX 10563
Mailing Address - Street 2:
Mailing Address - City:CLEVELAND
Mailing Address - State:OH
Mailing Address - Zip Code:44110-0563
Mailing Address - Country:US
Mailing Address - Phone:713-417-4121
Mailing Address - Fax:
Practice Address - Street 1:1234 N CROWN AVE
Practice Address - Street 2:
Practice Address - City:CINCINNATI
Practice Address - State:OH
Practice Address - Zip Code:45999-0001
Practice Address - Country:US
Practice Address - Phone:713-417-4121
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:Yes
Parent Organization LBN:ROUND ENTERPRISES
Parent Organization TIN:<UNAVAIL>
Enumeration Date:2009-12-18
Last Update Date:2009-12-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily MedicineGroup - Multi-Specialty