Azleway Inc.

Primary specialty

Case Management AgencyTaxonomy code 251B00000X

License

622680-01 Issued in TX

Legal business name

AZLEWAY INC.

Practice address

15892 County Road 26
Tyler, TX 75707-2728

Phone

(903) 566-8444

Fax

(903) 566-7696

NPI assigned

Sep 24, 2007

Last updated

Oct 9, 2007By the provider in NPPES

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Mr. Steven Booker

Title

Cfo

Phone

(903) 566-8444

Specialties & licenses 1

Addresses

Other identifiers 2

Other names 1

• AZLEWAY BOYS RANCH Other name

Locations

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1190592000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1191888000000",
    "number": "1356537377",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "15892 COUNTY ROAD 26",
            "city": "TYLER",
            "state": "TX",
            "postal_code": "757072728",
            "telephone_number": "903-566-8444",
            "fax_number": "903-566-7696"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "15892 COUNTY ROAD 26",
            "city": "TYLER",
            "state": "TX",
            "postal_code": "757072728",
            "telephone_number": "903-566-8444",
            "fax_number": "903-566-7696"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "AZLEWAY INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-09-24",
        "last_updated": "2007-10-09",
        "status": "A",
        "authorized_official_last_name": "BOOKER",
        "authorized_official_first_name": "STEVEN",
        "authorized_official_title_or_position": "CFO",
        "authorized_official_telephone_number": "903-566-8444",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "251B00000X",
            "taxonomy_group": "",
            "desc": "Case Management",
            "state": "TX",
            "license": "622680-01",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "108347901",
            "state": "TX"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "108347902",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "AZLEWAY BOYS RANCH",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

• Azalea Internal Medicine Associates PA
• Azalea Orthopedic & Sports Medicine Clinic PA
• Azalea Place Operating Company
• Samareh Cunningham Azar, MD
• Jasmine Azghani Vardeman, NP-C
• Naga Azzarapu
• Eli Azzi, MD
• B Tano, M.D., P.a. (The Center for Asthma, Allergy, Immunology & Hormone Health (TCAAIH))
• Daniel Baber, MD
• Rachel Rene Baber

• Case Management Agency in Tyler, TX
• Providers in Tyler, TX by specialty
• Case Management Agency in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 9, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.