Healthcare Provider Details
I. General information
NPI: 1306549845
Provider Name (Legal Business Name): TRUE GRIT FEDERATION INC
Entity Type: Organization
Gender:
Sole Proprietor:
II. Dates (important events)
Enumeration Date: 03/23/2023
Last Update Date: 03/24/2023
Certification Date: 03/24/2023
Deactivation Date:
Reactivation Date:
III. Provider practice location address
12002 HIGHWAY 146 STE 2
SAN LEON TX
77539-9696
US
IV. Provider business mailing address
12002 HIGHWAY 146 STE 2
SAN LEON TX
77539-9696
US
V. Phone/Fax
- Phone: 281-723-8299
- Fax:
- Phone: 281-723-8299
- Fax:
VI. Provider taxonomy
Scope of Practice (Provider specialty)
| # 1 | |
| Primary Taxonomy | Y |
| Taxonomy Code | 251V00000X |
| Taxonomy | Voluntary or Charitable Agency |
| License Number | |
| License Number State | |
VIII. Authorized Official
Name:
JENNIFER
KARYNN
RIPPLE RICE
Title or Position: CFO
Credential:
Phone: 281-723-8299