Provider Demographics
NPI:1588250963
Name:TOTAL SET SOLUTIONS LLC
Entity type:Organization
Organization Name:TOTAL SET SOLUTIONS LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CO-OWNER
Authorized Official - Prefix:
Authorized Official - First Name:KYLE
Authorized Official - Middle Name:DAVIS
Authorized Official - Last Name:BENTLEY
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:214-923-1763
Mailing Address - Street 1:1855 EMERALD BAY DR
Mailing Address - Street 2:
Mailing Address - City:ROCKWALL
Mailing Address - State:TX
Mailing Address - Zip Code:75087-3284
Mailing Address - Country:US
Mailing Address - Phone:214-923-1763
Mailing Address - Fax:
Practice Address - Street 1:1836 LARK LN
Practice Address - Street 2:
Practice Address - City:NORTHLAKE
Practice Address - State:TX
Practice Address - Zip Code:76226-1752
Practice Address - Country:US
Practice Address - Phone:817-832-1560
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2020-12-18
Last Update Date:2020-12-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes305S00000XManaged Care OrganizationsPoint of Service
No251K00000XAgenciesPublic Health or Welfare