Organization
TRY DETERMINATION INCORPORATED
Active
Organization subpart
No
Provider details
NPI number
Authorized official
KIMBERLY DENISE LEWIS (PROGRAM MANAGER)
(281) 221-6005
Entity
Organization
Contact information
Practice address
3023 WINCHESTER RANCH TRAIL, KATY, TX 77493
(281) 221-6005
(281) 463-0447
Mailing address
3023 WINCHESTER RANCH TRAIL, KATY, TX 77493
(281) 221-6005
(281) 463-0447
Taxonomy
Speciality
Code
Description
License number
State
251B00000X
Case Management Agency
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
101Y00000X
—
TX
05
—
164X00000X
—
TX
05
—
171MOOOOOX
—
TX
05
—
193200000X
—
TX
05
—
2084P0800X
—
TX
Enumeration date
10/21/2010
Last updated
10/21/2010
Update your record
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