Provider Demographics
NPI:1932789062
Name:T CENTER FOR MEN
Entity Type:Organization
Organization Name:T CENTER FOR MEN
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:FAMILY NURSE PRACTITIONER
Authorized Official - Prefix:
Authorized Official - First Name:LEILA
Authorized Official - Middle Name:
Authorized Official - Last Name:MARAGHI
Authorized Official - Suffix:
Authorized Official - Credentials:NP
Authorized Official - Phone:832-453-9300
Mailing Address - Street 1:800 BONAVENTURE WAY
Mailing Address - Street 2:BUILDING F-SUITE 127
Mailing Address - City:SUGAR LAND
Mailing Address - State:TX
Mailing Address - Zip Code:77479
Mailing Address - Country:US
Mailing Address - Phone:832-500-0025
Mailing Address - Fax:
Practice Address - Street 1:800 BONAVENTURE WAY
Practice Address - Street 2:BUILDING F-SUITE 127
Practice Address - City:SUGAR LAND
Practice Address - State:TX
Practice Address - Zip Code:77479
Practice Address - Country:US
Practice Address - Phone:832-500-0025
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2021-04-13
Last Update Date:2021-09-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261Q00000XAmbulatory Health Care FacilitiesClinic/Center