Provider Demographics
NPI:1104051069
Name:TOEJB RESOURCES UNLIMITED INC
Entity type:Organization
Organization Name:TOEJB RESOURCES UNLIMITED INC
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:TONETTE
Authorized Official - Middle Name:BONITA
Authorized Official - Last Name:OUTLAND
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:832-893-5285
Mailing Address - Street 1:2626 S LOOP W
Mailing Address - Street 2:SUITE 426
Mailing Address - City:HOUSTON
Mailing Address - State:TX
Mailing Address - Zip Code:77054-2654
Mailing Address - Country:US
Mailing Address - Phone:832-893-5285
Mailing Address - Fax:713-669-1091
Practice Address - Street 1:2626 S LOOP W
Practice Address - Street 2:SUITE 426
Practice Address - City:HOUSTON
Practice Address - State:TX
Practice Address - Zip Code:77054-2654
Practice Address - Country:US
Practice Address - Phone:832-893-5285
Practice Address - Fax:713-669-1091
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2009-05-21
Last Update Date:2009-10-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX10039101YA0400X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes101YA0400XBehavioral Health & Social Service ProvidersCounselorAddiction (Substance Use Disorder)Group - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
TX0A4799Medicare PIN