Provider Demographics
NPI:1033442900
Name:MEN'S HEALTH CENTERS
Entity Type:Organization
Organization Name:MEN'S HEALTH CENTERS
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:DIRECTOR
Authorized Official - Prefix:MR
Authorized Official - First Name:TIM
Authorized Official - Middle Name:
Authorized Official - Last Name:HORNER
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:713-400-6367
Mailing Address - Street 1:2990 RICHMOND AVE
Mailing Address - Street 2:SUITE 148
Mailing Address - City:HOUSTON
Mailing Address - State:TX
Mailing Address - Zip Code:77098-3104
Mailing Address - Country:US
Mailing Address - Phone:713-400-6367
Mailing Address - Fax:713-400-6366
Practice Address - Street 1:2990 RICHMOND AVE
Practice Address - Street 2:SUITE 148
Practice Address - City:HOUSTON
Practice Address - State:TX
Practice Address - Zip Code:77098-3109
Practice Address - Country:US
Practice Address - Phone:713-400-6367
Practice Address - Fax:713-400-6366
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2009-09-10
Last Update Date:2009-09-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TXDL3361173000000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes173000000XOther Service ProvidersLegal MedicineGroup - Single Specialty