Provider Demographics
NPI:1407656713
Name:TEXAS SUPPORT NETWORK INC
Entity type:Organization
Organization Name:TEXAS SUPPORT NETWORK INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:DIRECTOR OF SERVICES
Authorized Official - Prefix:
Authorized Official - First Name:NELSON
Authorized Official - Middle Name:JUMA
Authorized Official - Last Name:KAP-KIRWOK
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:616-566-3803
Mailing Address - Street 1:200 THORN RIDGE CIR
Mailing Address - Street 2:
Mailing Address - City:EL PASO
Mailing Address - State:TX
Mailing Address - Zip Code:79932-1463
Mailing Address - Country:US
Mailing Address - Phone:616-566-3803
Mailing Address - Fax:
Practice Address - Street 1:200 THORN RIDGE CIR
Practice Address - Street 2:
Practice Address - City:EL PASO
Practice Address - State:TX
Practice Address - Zip Code:79932-1463
Practice Address - Country:US
Practice Address - Phone:616-566-3803
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2025-03-17
Last Update Date:2025-03-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health