Provider Demographics
NPI:1225306822
Name:HIWET CLINIC INC.
Entity Type:Organization
Organization Name:HIWET CLINIC INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CEO
Authorized Official - Prefix:MRS
Authorized Official - First Name:AWET
Authorized Official - Middle Name:
Authorized Official - Last Name:ASFAHA
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:562-310-1270
Mailing Address - Street 1:6440 HILLCROFT ST STE 104
Mailing Address - Street 2:
Mailing Address - City:HOUSTON
Mailing Address - State:TX
Mailing Address - Zip Code:77081-3104
Mailing Address - Country:US
Mailing Address - Phone:562-310-1270
Mailing Address - Fax:866-357-5248
Practice Address - Street 1:6440 HILLCROFT ST STE 104
Practice Address - Street 2:
Practice Address - City:HOUSTON
Practice Address - State:TX
Practice Address - Zip Code:77081-3104
Practice Address - Country:US
Practice Address - Phone:562-310-1270
Practice Address - Fax:866-357-5248
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2011-12-09
Last Update Date:2011-12-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QP2300XAmbulatory Health Care FacilitiesClinic/CenterPrimary Care