Provider Demographics
NPI:1841760154
Name:FUTURE WINNERS OF TEXAS LLC
Entity Type:Organization
Organization Name:FUTURE WINNERS OF TEXAS LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:VICE PRSIDENT
Authorized Official - Prefix:
Authorized Official - First Name:SAMIE
Authorized Official - Middle Name:ABDELAZIZ
Authorized Official - Last Name:ABDELAZIZ
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:817-703-1974
Mailing Address - Street 1:PO BOX 271604
Mailing Address - Street 2:
Mailing Address - City:HOUSTON
Mailing Address - State:TX
Mailing Address - Zip Code:77277
Mailing Address - Country:US
Mailing Address - Phone:817-703-1974
Mailing Address - Fax:713-583-7747
Practice Address - Street 1:1136 OLD RADIO LN #117
Practice Address - Street 2:
Practice Address - City:ROSENBERG
Practice Address - State:TX
Practice Address - Zip Code:77471
Practice Address - Country:US
Practice Address - Phone:817-703-1974
Practice Address - Fax:713-583-7747
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2018-11-29
Last Update Date:2019-04-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes251S00000XAgenciesCommunity/Behavioral HealthGroup - Multi-Specialty