Provider Demographics
NPI:1972800795
Name:BLINK TEXAS INC
Entity type:Organization
Organization Name:BLINK TEXAS INC
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:CEO
Authorized Official - Prefix:MR
Authorized Official - First Name:INNOCENT
Authorized Official - Middle Name:RUTAHAGA
Authorized Official - Last Name:BATAMULA
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:713-373-6525
Mailing Address - Street 1:8950 WESTPARK DR STE 102A
Mailing Address - Street 2:
Mailing Address - City:HOUSTON
Mailing Address - State:TX
Mailing Address - Zip Code:77063-5556
Mailing Address - Country:US
Mailing Address - Phone:713-373-6525
Mailing Address - Fax:
Practice Address - Street 1:8950 WESTPARK DR STE 102A
Practice Address - Street 2:
Practice Address - City:HOUSTON
Practice Address - State:TX
Practice Address - Zip Code:77063-5556
Practice Address - Country:US
Practice Address - Phone:713-373-6525
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2011-02-14
Last Update Date:2011-03-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX1000560341600000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes341600000XTransportation ServicesAmbulance