4 Real Group, LLC
4 Real Group, LLC is a healthcare organization registered as Clinical Medical Laboratory in Desoto, TX, holding Type 2 (organization) NPI 1013206630 since 2011. The authorized official on file is Eric Tucker, Owner.
✓ Active NPI ✓ Valid NPI checksum
| NPI | 1013206630 |
|---|---|
| Entity type | Organization (Type 2) |
| Legal business name | 4 Real Group, LLC |
| Other name | <Unavail> |
| Practice address | 613 WORLEY GLEN AVE, Desoto, TX, 75115 |
| Phone | 2142779814 |
| Fax | 2146131583 |
| Enumeration date | 2011-04-05 |
| Last updated in NPPES | 2022-03-25 |
Authorized official
| Name | Eric Tucker |
|---|---|
| Title | Owner |
| Phone | 2142779814 |
Taxonomy & classification
| Taxonomy code | Specialty | Primary | License | State |
|---|---|---|---|---|
| 320600000X | Intellectual and/or Developmental Disabilities Residential Treatment Facility | Secondary | — | — |
| 291U00000X | Clinical Medical Laboratory | Primary | — | — |
Copy-ready billing details
Provider: 4 Real Group, LLC NPI: 1013206630 Taxonomy: 291U00000X (Clinical Medical Laboratory) Address: 613 WORLEY GLEN AVE, Desoto, TX, 75115
Verify this record
Cross-check NPI 1013206630 against the authoritative CMS record: view 4 Real Group, LLC on the official NPPES registry .
What is an NPI number?
A National Provider Identifier (NPI) is a unique 10-digit number that CMS assigns to every U.S. healthcare provider and organization under HIPAA. Type 1 NPIs identify individual providers; Type 2 NPIs identify organizations. The NPI appears on insurance claims, prescriptions, and credentialing paperwork, and never changes — even if the provider moves or changes specialty. Read the full guide or validate an NPI number.
Frequently asked questions
What is the NPI number for 4 Real Group, LLC?
Who is the authorized official for 4 Real Group, LLC?
Source: CMS NPPES (public data). Snapshot 2026-07-11. Provider record last updated 2022-03-25.