Antiaging Centers Of Texas Mdpa

NPI 1043409881 - Preventive Medicine - 2083P0901X

NPI Details
NPI 1043409881
Enumeration Date 10/17/2007
Last Updated 12/04/2008
Entity Type Healthcare Provider
Active Over 9 years ago
Authorized Information
Name AJAY K AJAY
Position AUTHORIZED OFFICER
Phone (713) 589-9115
Fax (281) 201-4560
Practice Location
2646 S LOOP W STE 300
HOUSTON TX, 77054-2678, US
Phone (713) 589-9115
Fax (281) 201-4560
Business Location
5318 WESLAYAN ST # 183
HOUSTON TX, 77005-1048, US
Phone (713) 589-9115
Fax (281) 201-4560
Toxanomy
Taxonomy Code 2083P0901X
License State
License Number
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According to our database, Antiaging Centers Of Texas Mdpa NPI is 1043409881, taxonomy code is 2083P0901X Antiaging Centers Of Texas Mdpa physically located at 2646 S Loop W Ste 300, Houston TX, 77054-2678. NPI Number 1033115704 has the healthcare provider type.

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1043409881 NPI number is provided on an as is basis without warranty of any kind. 1043409881 is maintained by the National Plan & Provider Enumeration System. The contents of Antiaging Centers Of Texas Mdpa are for informational purposes only.