Provider Demographics
NPI:1306313176
Name:ROCKET PT, LLC
Entity type:Organization
Organization Name:ROCKET PT, LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:MANAGER
Authorized Official - Prefix:
Authorized Official - First Name:LUIS
Authorized Official - Middle Name:ARMANDO
Authorized Official - Last Name:CARAVEO
Authorized Official - Suffix:JR
Authorized Official - Credentials:
Authorized Official - Phone:214-603-0841
Mailing Address - Street 1:201 MCKINNEY VILLAGE PKWY APT 1105
Mailing Address - Street 2:
Mailing Address - City:MCKINNEY
Mailing Address - State:TX
Mailing Address - Zip Code:75069-2545
Mailing Address - Country:US
Mailing Address - Phone:214-603-0841
Mailing Address - Fax:
Practice Address - Street 1:5605 N MACARTHUR BLVD # 10000
Practice Address - Street 2:
Practice Address - City:IRVING
Practice Address - State:TX
Practice Address - Zip Code:75038-2617
Practice Address - Country:US
Practice Address - Phone:214-603-0841
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2018-10-30
Last Update Date:2018-11-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health