Provider Demographics
NPI:1225584717
Name:PROJECTILE INC.
Entity type:Organization
Organization Name:PROJECTILE INC.
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:CEO-CEA
Authorized Official - Prefix:MR
Authorized Official - First Name:TRENTON
Authorized Official - Middle Name:
Authorized Official - Last Name:GARRETT
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:713-884-8266
Mailing Address - Street 1:577 W RITTENHOUSE RD
Mailing Address - Street 2:APT. 352
Mailing Address - City:HOUSTON
Mailing Address - State:TX
Mailing Address - Zip Code:77091-2488
Mailing Address - Country:US
Mailing Address - Phone:281-416-6177
Mailing Address - Fax:713-884-8266
Practice Address - Street 1:577 W RITTENHOUSE RD
Practice Address - Street 2:APT. 352
Practice Address - City:HOUSTON
Practice Address - State:TX
Practice Address - Zip Code:77091-2488
Practice Address - Country:US
Practice Address - Phone:281-416-6177
Practice Address - Fax:713-884-8266
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2016-08-25
Last Update Date:2016-08-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes302R00000XManaged Care OrganizationsHealth Maintenance Organization