National Provider Identifier Database

THE GREAT ESCAPE
Preferred Provider Organization

A group of physicians and/or hospitals who contract with an employer to provide services to their employees. In a PPO, the patient may got to the physician of his/her choice, even if that physician does not participate in the PPO, but the patient receives care at a lower benefit level.


Contact Information

THE GREAT ESCAPE
1500 E HIGHWAY 82
SUITE -26
GAINESVILLE, TX76240-2831
Phone: 940-736-3156
Fax:
Website:
Specialty Taxonomy Code
* Preferred Provider Organization 305R00000X

* Indicates primary specialty

NPI Profile & details for THE GREAT ESCAPE

NPI Number 1174701353
Legal business name
LBN
THE GREAT ESCAPE
Authorized official MARY WATSON - (LICENSED MASSAGE THERAPIST)
Entity Organization
Organization subpart Yes
Enumeration date 02/10/2008
Last updated 02/10/2008 - About 18 years ago
Sole proprietor1 Not specified
Identifiers
  • TX License #: MT101857

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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