FALLEN TREE CORP
NPI 1841467727
General Practice in Manor, TX
About Fallen Tree Corp NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
FALLEN TREE CORP (NPI 1841467727) is a healthcare organization registered as a general practice in Manor, Texas and active in the NPI registry since May 2008. The organization holds a CLIA Waiver certificate valid through March 16, 2028 and lists Peyton Thompson, Owner, President, as its authorized official.
NPPES Registry Identity
Specialties & Licenses 4
A physician who specializes in the general practice of diagnosing, treating, and managing patients with a variety of illnesses and conditions. Source: National Uniform Claim Committee
Other Identifiers 1
Group Practice 1
CLIA Information
The Clinical Laboratory Improvement Amendments (CLIA) of 1988 applies to facilities or sites that test human specimens for health assessment or to diagnose, prevent, or treat disease. The CLIA Program sets standards for clinical laboratory testing and issues certificates. The NPI / CLIA crosswalk information for this NPI number is:
- CLIA Number
- 45D2255798
- Facility Type
- Physician Office
- Certificate Effective Date
- March 17, 2026
- Certificate Expiration Date
- March 16, 2028
- Laboratory Director
- MONETTE SCHWEITZER
- Certificate Type
- Certificate of Waiver
- Certificate Type Description
- This CLIA certificate is issued to Fallen Tree Corp to perform only waived tests. CLIA defines waived tests as simple tests with a low risk for an incorrect result. Waived tests include certain tests listed in CLIA regulations, tests cleared by the FDA for home use and tests approved by the FDA for waived status and that meet CLIA waiver criteria.
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Other Providers at the Same Location
The following 1 provider is registered at the same or a nearby location.
Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1841467727, enumerated as an "organization" on May 10, 2008.
The provider is located at 11416 RUNNEL RIDGE RD MANOR, TX 78653 and the phone number is (512) 760-0666.
General Practice with taxonomy code 208D00000X.
The provider might be accepting Accepts: Medicare and Medicaid. Please consult your insurance carrier or call the provider to verify.
