National Provider Identifier Database

MIRACLE FARM INC
Voluntary or Charitable


Contact Information

MIRACLE FARM, INC.
10802 FM 2621
BRENHAM, TX77833-0164
Phone: 979-836-0901
Fax: 979-277-0939
Website:
Specialty Taxonomy Code
* Voluntary or Charitable 251V00000X

* Indicates primary specialty

NPI Profile & details for MIRACLE FARM, INC.

NPI Number 1679091789
Legal business name
LBN
MIRACLE FARM, INC.
Authorized official JAY HAMILTON - (EXECUTIVE DIRECTOR)
Entity Organization
Organization subpart No
Enumeration date 09/08/2017
Last updated 07/21/2022 - About 4 years ago
Sole proprietor1 Not specified
Identifiers
  • TX License #: 68824

1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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