Provider Demographics
NPI:1831074798
Name:STRAIGHTLINE PROVIDER NETWORK PARTNERS , LLC
Entity type:Organization
Organization Name:STRAIGHTLINE PROVIDER NETWORK PARTNERS , LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:EXECUTIVE
Authorized Official - Prefix:
Authorized Official - First Name:DELISA
Authorized Official - Middle Name:
Authorized Official - Last Name:LANDRY
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:832-275-9526
Mailing Address - Street 1:6046 VALKEITH DR
Mailing Address - Street 2:
Mailing Address - City:HOUSTON
Mailing Address - State:TX
Mailing Address - Zip Code:77096-3833
Mailing Address - Country:US
Mailing Address - Phone:832-275-9526
Mailing Address - Fax:
Practice Address - Street 1:3120 SOUTHWEST FWY STE 1
Practice Address - Street 2:
Practice Address - City:HOUSTON
Practice Address - State:TX
Practice Address - Zip Code:77098-4509
Practice Address - Country:US
Practice Address - Phone:832-275-9526
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2025-08-09
Last Update Date:2025-08-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes305R00000XManaged Care OrganizationsPreferred Provider Organization