Provider Demographics
NPI:1255761748
Name:EDUCENTER BY NETS
Entity type:Organization
Organization Name:EDUCENTER BY NETS
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:VICE PRESIDENT ADMINISTRATION
Authorized Official - Prefix:MR
Authorized Official - First Name:JOSE
Authorized Official - Middle Name:R
Authorized Official - Last Name:SUAREZ
Authorized Official - Suffix:
Authorized Official - Credentials:MBA
Authorized Official - Phone:512-996-9260
Mailing Address - Street 1:1900 CYPRESS CREEK RD
Mailing Address - Street 2:SUITE 101
Mailing Address - City:CEDAR PARK
Mailing Address - State:TX
Mailing Address - Zip Code:78613-3513
Mailing Address - Country:US
Mailing Address - Phone:512-996-9260
Mailing Address - Fax:
Practice Address - Street 1:1900 CYPRESS CREEK RD
Practice Address - Street 2:SUITE 101
Practice Address - City:CEDAR PARK
Practice Address - State:TX
Practice Address - Zip Code:78613-3513
Practice Address - Country:US
Practice Address - Phone:512-996-9260
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:Yes
Parent Organization LBN:INSTITUCION EDUCATIVA NETS (USA), LLC.
Parent Organization TIN:<UNAVAIL>
Enumeration Date:2013-11-19
Last Update Date:2014-08-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX109682235Z00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes235Z00000XSpeech, Language and Hearing Service ProvidersSpeech-Language PathologistGroup - Multi-Specialty