Provider Demographics
NPI:1194892802
Name:EASY TOUCH INC.
Entity type:Organization
Organization Name:EASY TOUCH INC.
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:ADMINISTRATOR
Authorized Official - Prefix:MR
Authorized Official - First Name:ROCKY
Authorized Official - Middle Name:
Authorized Official - Last Name:SIMS
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:361-852-1008
Mailing Address - Street 1:5402 HOLLY RD
Mailing Address - Street 2:SUITE 2102
Mailing Address - City:CORPUS CHRISTI
Mailing Address - State:TX
Mailing Address - Zip Code:78411-4635
Mailing Address - Country:US
Mailing Address - Phone:361-852-1008
Mailing Address - Fax:361-852-1282
Practice Address - Street 1:5402 HOLLY RD
Practice Address - Street 2:SUITE 2102
Practice Address - City:CORPUS CHRISTI
Practice Address - State:TX
Practice Address - Zip Code:78411-4635
Practice Address - Country:US
Practice Address - Phone:361-852-1008
Practice Address - Fax:361-852-1282
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-11-29
Last Update Date:2008-07-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QS1200XAmbulatory Health Care FacilitiesClinic/CenterSleep Disorder Diagnostic
Provider Identifiers
StateIdentifier IDID TypeIssuer
TXPL7042OtherBLUECROSSBLUESHEILD NUMBE
TX088021301Medicaid
TXPL7042OtherBLUECROSSBLUESHEILD NUMBE
TXPL7042OtherBLUECROSSBLUESHEILD NUMBE