EXECUTIVE DE-TAILS
NPI 1629134440
Contractor in Grand Prairie, TX
About Executive De-tails NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
EXECUTIVE DE-TAILS (NPI 1629134440) is a healthcare organization registered as a contractor in Grand Prairie, Texas and active in the NPI registry since December 2006. The organization lists Mark Aidelojie, Consultant, as its authorized official.
NPPES Registry Identity
Specialties & Licenses
Other Names 1
Group Practice 1
Other Providers at the Same Location NPPES
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
Frequently Asked Questions NPPES & CMS
Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.
What is Executive De-Tails's NPI number?
The NPI number for Executive De-Tails is 1629134440. It was assigned to this organization in the NPPES registry on December 28, 2006.
Where is Executive De-Tails located?
Executive De-Tails is located at 2952 Celian Dr, Grand Prairie, TX 75052. The listed phone number is (817) 247-5267.
What is Executive De-Tails's specialty?
The primary specialty registered for this NPI is Contractor with taxonomy code 171W00000X.
When was this NPI record last updated?
The NPPES record for Executive De-Tails was last updated on August 22, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.