Provider Demographics
NPI:1215286190
Name:COMPEVAL DD EXAMS, LLC
Entity type:Organization
Organization Name:COMPEVAL DD EXAMS, LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:DIRECTOR OF OPERATIONS
Authorized Official - Prefix:MS
Authorized Official - First Name:LISA
Authorized Official - Middle Name:
Authorized Official - Last Name:CARRIGAN
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:712-520-0358
Mailing Address - Street 1:PO BOX 770669
Mailing Address - Street 2:
Mailing Address - City:HOUSTON
Mailing Address - State:TX
Mailing Address - Zip Code:77215-0669
Mailing Address - Country:US
Mailing Address - Phone:713-400-0228
Mailing Address - Fax:713-400-0229
Practice Address - Street 1:3100 S. GESSNER
Practice Address - Street 2:SUITE 225
Practice Address - City:HOUSTON
Practice Address - State:TX
Practice Address - Zip Code:77063-3797
Practice Address - Country:US
Practice Address - Phone:713-400-0228
Practice Address - Fax:713-400-0229
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2012-09-06
Last Update Date:2015-01-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251B00000XAgenciesCase Management