Provider Demographics
NPI:1689441156
Name:TIME IN FUTURE
Entity Type:Organization
Organization Name:TIME IN FUTURE
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER/CEO
Authorized Official - Prefix:
Authorized Official - First Name:JEANETTE
Authorized Official - Middle Name:H
Authorized Official - Last Name:TIFRE
Authorized Official - Suffix:
Authorized Official - Credentials:RN
Authorized Official - Phone:281-636-9209
Mailing Address - Street 1:2911 EL DORADO BLVD
Mailing Address - Street 2:
Mailing Address - City:FRIENDSWOOD
Mailing Address - State:TX
Mailing Address - Zip Code:77546-5737
Mailing Address - Country:US
Mailing Address - Phone:281-636-9209
Mailing Address - Fax:
Practice Address - Street 1:2911 EL DORADO BLVD
Practice Address - Street 2:
Practice Address - City:FRIENDSWOOD
Practice Address - State:TX
Practice Address - Zip Code:77546-5737
Practice Address - Country:US
Practice Address - Phone:281-636-9209
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2023-12-05
Last Update Date:2023-12-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes302R00000XManaged Care OrganizationsHealth Maintenance Organization