Carnivore Lifestyle MD PLLC
Physical Medicine & Rehabilitation in The Woodlands, TX. Organization (NPI-2).
NPI number1457091027
StatusActive
Last updated in NPPESApr 16, 2024
Details
- NPI
- 1457091027
- Entity type
- Organization (NPI-2)
- Legal business name
- Carnivore Lifestyle MD PLLC
- Organization subpart
- No
- Enumeration date
- Mar 31, 2022
- Certification date
- Apr 16, 2024
- Last updated
- Apr 16, 2024
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 208100000X | Physical Medicine & Rehabilitation | – | – | Yes |
Practice location
3275 College Park DrThe Woodlands, TX 77384-4501
Phone 346-220-8063 · Fax 832-838-4362
Mailing address
3275 College Park DrThe Woodlands, TX 77384-4501
Phone 346-220-8063 · Fax 832-838-4362
Authorized official
Lawrence H. Nguyen
Owner
3462208063
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