Provider Demographics
NPI:1861745705
Name:AFFIANT INC
Entity type:Organization
Organization Name:AFFIANT INC
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:
Authorized Official - First Name:REMI
Authorized Official - Middle Name:
Authorized Official - Last Name:SUTTON
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:832-875-8763
Mailing Address - Street 1:13180 WESTPARK DR
Mailing Address - Street 2:109
Mailing Address - City:HOUSTON
Mailing Address - State:TX
Mailing Address - Zip Code:77082-4900
Mailing Address - Country:US
Mailing Address - Phone:832-875-8763
Mailing Address - Fax:
Practice Address - Street 1:13180 WESTPARK DR
Practice Address - Street 2:109
Practice Address - City:HOUSTON
Practice Address - State:TX
Practice Address - Zip Code:77082-4900
Practice Address - Country:US
Practice Address - Phone:832-875-8763
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2012-10-16
Last Update Date:2012-10-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinicalGroup - Multi-Specialty