Provider Demographics
NPI:1972959948
Name:TED VENTURES, LLC
Entity type:Organization
Organization Name:TED VENTURES, LLC
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:DIRECTOR
Authorized Official - Prefix:
Authorized Official - First Name:CHARLES
Authorized Official - Middle Name:
Authorized Official - Last Name:NEFF
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:817-485-5100
Mailing Address - Street 1:5005 W ROYAL LN
Mailing Address - Street 2:SUITE 196
Mailing Address - City:IRVING
Mailing Address - State:TX
Mailing Address - Zip Code:75063-1996
Mailing Address - Country:US
Mailing Address - Phone:817-485-5100
Mailing Address - Fax:
Practice Address - Street 1:5005 W ROYAL LN
Practice Address - Street 2:SUITE 196
Practice Address - City:IRVING
Practice Address - State:TX
Practice Address - Zip Code:75063-1996
Practice Address - Country:US
Practice Address - Phone:817-485-5100
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2016-05-10
Last Update Date:2016-05-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical TherapistGroup - Multi-Specialty