Provider Demographics
NPI:1902449333
Name:STRATEGIC BINARY SOLUTIONS LLC
Entity Type:Organization
Organization Name:STRATEGIC BINARY SOLUTIONS LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:SELENA
Authorized Official - Middle Name:
Authorized Official - Last Name:BRELAND
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:214-861-0541
Mailing Address - Street 1:13030 AUDELIA RD
Mailing Address - Street 2:2190
Mailing Address - City:DALLAS
Mailing Address - State:TX
Mailing Address - Zip Code:75243-2471
Mailing Address - Country:US
Mailing Address - Phone:214-861-0541
Mailing Address - Fax:
Practice Address - Street 1:13030 AUDELIA RD
Practice Address - Street 2:2190
Practice Address - City:DALLAS
Practice Address - State:TX
Practice Address - Zip Code:75243-2471
Practice Address - Country:US
Practice Address - Phone:214-861-0541
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2019-10-17
Last Update Date:2019-10-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes208D00000XAllopathic & Osteopathic PhysiciansGeneral PracticeGroup - Single Specialty