Provider Demographics
NPI:1396443487
Name:DIFFERENCE MAKERS ENTERPRISES INC.
Entity type:Organization
Organization Name:DIFFERENCE MAKERS ENTERPRISES INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CEO
Authorized Official - Prefix:
Authorized Official - First Name:MICHAEL
Authorized Official - Middle Name:
Authorized Official - Last Name:CROCKETT
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:281-978-4046
Mailing Address - Street 1:13111 WESTHEIMER RD # 101-C
Mailing Address - Street 2:
Mailing Address - City:HOUSTON
Mailing Address - State:TX
Mailing Address - Zip Code:77077-5546
Mailing Address - Country:US
Mailing Address - Phone:281-978-4046
Mailing Address - Fax:
Practice Address - Street 1:13111 WESTHEIMER RD # 101-C
Practice Address - Street 2:
Practice Address - City:HOUSTON
Practice Address - State:TX
Practice Address - Zip Code:77077-5546
Practice Address - Country:US
Practice Address - Phone:281-978-4046
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2023-02-20
Last Update Date:2023-02-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QM1300XAmbulatory Health Care FacilitiesClinic/CenterMulti-Specialty