Provider Demographics
NPI:1194915876
Name:NEUROENDOCRINE CONSULTING, LLC
Entity type:Organization
Organization Name:NEUROENDOCRINE CONSULTING, LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:MANAGER
Authorized Official - Prefix:MISS
Authorized Official - First Name:NANCY
Authorized Official - Middle Name:BIRKET
Authorized Official - Last Name:BENZEL
Authorized Official - Suffix:
Authorized Official - Credentials:PA-C
Authorized Official - Phone:512-540-4182
Mailing Address - Street 1:PO BOX 160774
Mailing Address - Street 2:
Mailing Address - City:AUSTIN
Mailing Address - State:TX
Mailing Address - Zip Code:78716-0774
Mailing Address - Country:US
Mailing Address - Phone:512-540-4182
Mailing Address - Fax:
Practice Address - Street 1:3839 BEE CAVES RD
Practice Address - Street 2:SUITE 202
Practice Address - City:WEST LAKE HILLS
Practice Address - State:TX
Practice Address - Zip Code:78746-6401
Practice Address - Country:US
Practice Address - Phone:512-540-4182
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-07-27
Last Update Date:2014-06-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TXPA02422261QM2500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QM2500XAmbulatory Health Care FacilitiesClinic/CenterMedical Specialty