Provider Demographics
NPI:1992586804
Name:TRIGGER DISCIPLINE IQ LLC
Entity type:Organization
Organization Name:TRIGGER DISCIPLINE IQ LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CEO
Authorized Official - Prefix:
Authorized Official - First Name:HUSSEIN
Authorized Official - Middle Name:
Authorized Official - Last Name:MATARI
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:081-760-0831
Mailing Address - Street 1:3600 W PIONEER PKWY STE 6
Mailing Address - Street 2:
Mailing Address - City:PANTEGO
Mailing Address - State:TX
Mailing Address - Zip Code:76013-4501
Mailing Address - Country:US
Mailing Address - Phone:081-760-0831
Mailing Address - Fax:
Practice Address - Street 1:3600 W PIONEER PKWY STE 6
Practice Address - Street 2:
Practice Address - City:PANTEGO
Practice Address - State:TX
Practice Address - Zip Code:76013-4501
Practice Address - Country:US
Practice Address - Phone:081-760-0831
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2023-10-09
Last Update Date:2023-10-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes305S00000XManaged Care OrganizationsPoint of Service
No177F00000XOther Service ProvidersLodging
No342000000XTransportation ServicesTransportation Network Company
No347C00000XTransportation ServicesPrivate Vehicle