Organization
OPEN WINGS INDEPENDENT LIVING, INC.
Active
Other names
PREP 360 ATHLETICS
Organization subpart
No
Provider details
NPI number
Authorized official
DWAN EPPS (EXECUTIVE DIRECTOR)
(832) 871-9191
Entity
Organization
Contact information
Practice address
2800 POST OAK BLVD STE 4100, HOUSTON, TX 77056-6145
(832) 871-9191
Mailing address
2800 POST OAK BLVD STE 4100, HOUSTON, TX 77056-6145
(832) 871-9191
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
—
—
106E00000X
Assistant Behavior Analyst
—
—
106S00000X
Behavior Technician
—
—
133N00000X
Nutritionist
—
—
174200000X
Meals Provider
—
—
207QS0010X
Sports Medicine (Family Medicine) Physician
—
—
251B00000X
Case Management Agency
—
—
251K00000X
Public Health or Welfare Agency
—
—
251S00000X
Community/Behavioral Health Agency
Primary
—
—
251X00000X
Supports Brokerage Agency
—
—
343900000X
Non-emergency Medical Transport (VAN)
—
—
347C00000X
Private Vehicle
—
—
Other
Enumeration date
02/20/2023
Last updated
02/20/2023
Update your record
If you believe information in your NPPES record is inaccurate, or if you wish to update or deactivate your NPI, you can do so directly with CMS at https://nppes.cms.hhs.gov.
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Sign up