Provider Demographics
NPI:1538469788
Name:TRY DETERMINATION INCORPORATED
Entity Type:Organization
Organization Name:TRY DETERMINATION INCORPORATED
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PROGRAM MANAGER
Authorized Official - Prefix:
Authorized Official - First Name:KIMBERLY
Authorized Official - Middle Name:DENISE
Authorized Official - Last Name:LEWIS
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:281-221-6005
Mailing Address - Street 1:3023 WINCHESTER RANCH TRAIL
Mailing Address - Street 2:
Mailing Address - City:KATY
Mailing Address - State:TX
Mailing Address - Zip Code:77493
Mailing Address - Country:US
Mailing Address - Phone:281-221-6005
Mailing Address - Fax:281-463-0447
Practice Address - Street 1:3023 WINCHESTER RANCH TRAIL
Practice Address - Street 2:
Practice Address - City:KATY
Practice Address - State:TX
Practice Address - Zip Code:77493
Practice Address - Country:US
Practice Address - Phone:281-221-6005
Practice Address - Fax:281-463-0447
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2010-10-21
Last Update Date:2010-10-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251B00000XAgenciesCase Management
Provider Identifiers
StateIdentifier IDID TypeIssuer
TX193200000XMedicaid
TX101Y00000XMedicaid
TX2084P0800XMedicaid
TX164X00000XMedicaid
TX171MOOOOOXMedicaid