Provider Demographics
NPI:1285650457
Name:BRITTAIN & ASSOCIATES INC
Entity type:Organization
Organization Name:BRITTAIN & ASSOCIATES INC
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT/CHIEF EXECUTIVE OFFICER
Authorized Official - Prefix:MS
Authorized Official - First Name:MARY
Authorized Official - Middle Name:ANNETTE
Authorized Official - Last Name:BRITTAIN
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:903-968-4641
Mailing Address - Street 1:PO BOX 398
Mailing Address - Street 2:
Mailing Address - City:ORE CITY
Mailing Address - State:TX
Mailing Address - Zip Code:75683-0398
Mailing Address - Country:US
Mailing Address - Phone:903-968-4641
Mailing Address - Fax:903-968-4927
Practice Address - Street 1:213 US HIGHWAY 259 N
Practice Address - Street 2:
Practice Address - City:ORE CITY
Practice Address - State:TX
Practice Address - Zip Code:75683-2106
Practice Address - Country:US
Practice Address - Phone:903-968-4641
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-07-14
Last Update Date:2019-07-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes103TC0700XBehavioral Health & Social Service ProvidersPsychologistClinicalGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
TX388959401Medicaid
TXDC7751OtherRAIL ROAD MEDICARE PIN
AR158278744Medicaid
AR5F346Medicare PIN
AR158278744Medicaid