Provider Demographics
NPI:1184871444
Name:FITNESS NETWORK SERVICES, LLP
Entity type:Organization
Organization Name:FITNESS NETWORK SERVICES, LLP
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:CEO
Authorized Official - Prefix:MR
Authorized Official - First Name:HONG
Authorized Official - Middle Name:
Authorized Official - Last Name:WANG
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:832-381-3772
Mailing Address - Street 1:4646 CORONA DR STE 280
Mailing Address - Street 2:
Mailing Address - City:CORPUS CHRISTI
Mailing Address - State:TX
Mailing Address - Zip Code:78411-4307
Mailing Address - Country:US
Mailing Address - Phone:361-853-3559
Mailing Address - Fax:361-853-3563
Practice Address - Street 1:4646 CORONA DR STE 280
Practice Address - Street 2:
Practice Address - City:CORPUS CHRISTI
Practice Address - State:TX
Practice Address - Zip Code:78411-4307
Practice Address - Country:US
Practice Address - Phone:361-853-3559
Practice Address - Fax:361-853-3563
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2008-08-19
Last Update Date:2008-08-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TXE7420261QP2300X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QP2300XAmbulatory Health Care FacilitiesClinic/CenterPrimary Care