Provider Demographics
NPI:1013180058
Name:TEXAS PREVENTION NETWORK INC
Entity Type:Organization
Organization Name:TEXAS PREVENTION NETWORK INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CEO
Authorized Official - Prefix:
Authorized Official - First Name:ANDREW
Authorized Official - Middle Name:
Authorized Official - Last Name:IWE
Authorized Official - Suffix:
Authorized Official - Credentials:LCDC,LMFT,SAP
Authorized Official - Phone:713-981-6063
Mailing Address - Street 1:10103 FONDREN RD STE 330
Mailing Address - Street 2:
Mailing Address - City:HOUSTON
Mailing Address - State:TX
Mailing Address - Zip Code:77096-4658
Mailing Address - Country:US
Mailing Address - Phone:713-981-6063
Mailing Address - Fax:713-981-9772
Practice Address - Street 1:10103 FONDREN RD STE 330
Practice Address - Street 2:
Practice Address - City:HOUSTON
Practice Address - State:TX
Practice Address - Zip Code:77096-4658
Practice Address - Country:US
Practice Address - Phone:713-981-6063
Practice Address - Fax:713-981-9772
EIN:<UNAVAIL>
Is Organization Subpart?:Yes
Parent Organization LBN:NO
Parent Organization TIN:<UNAVAIL>
Enumeration Date:2008-04-10
Last Update Date:2008-04-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX2393-A251S00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251S00000XAgenciesCommunity/Behavioral Health