Easy Tech Tutoring LLC

Primary specialty

PACE Provider OrganizationTaxonomy code 251T00000X

Legal business name

EASY TECH TUTORING LLC

Doing business as

Easy Tech

Practice address

2902 Briarhurst Dr Apt 909
Houston, TX 77057-5335

Phone

(346) 232-5047

NPI assigned

Nov 27, 2018

Organization subpart

No

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

Authorized official

Name

Cybal A Goodlette

Title

Owner

Phone

(346) 232-5047

Specialties & licenses 2

Addresses

Other names 1

• Easy Tech Doing business as

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

{
    "created_epoch": "1543276800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1543363200000",
    "number": "1841760477",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2902 BRIARHURST DR APT 909",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "770575335"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2902 BRIARHURST DR APT 909",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "770575335",
            "telephone_number": "346-232-5047"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "EASY TECH TUTORING LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-11-27",
        "last_updated": "2018-11-28",
        "status": "A",
        "authorized_official_last_name": "GOODLETTE",
        "authorized_official_first_name": "CYBAL",
        "authorized_official_middle_name": "A",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "346-232-5047"
    },
    "taxonomies": [
        {
            "code": "251K00000X",
            "taxonomy_group": "",
            "desc": "Public Health or Welfare",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "251T00000X",
            "taxonomy_group": "",
            "desc": "Program of All-Inclusive Care for the Elderly (PACE) Provider Organization",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Easy Tech",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Easy Tech",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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• Jackie Eaton, PRS/ICRC

• PACE Provider Organization in Houston, TX
• Providers in Houston, TX by specialty
• PACE Provider Organization in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 28, 2018; 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.