Androderm X LLC
Clinic/Center, Primary Care in Webster, TX. Organization (NPI-2).
NPI number1760192017
StatusActive
Last updated in NPPESNov 28, 2022
Details
- NPI
- 1760192017
- Entity type
- Organization (NPI-2)
- Legal business name
- Androderm X LLC
- Organization subpart
- No
- Enumeration date
- Nov 28, 2022
- Certification date
- Nov 28, 2022
- Last updated
- Nov 28, 2022
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 261QP2300X | Clinic/Center, Primary Care | – | – | Yes |
Practice location
18201 Gulf FwyWebster, TX 77598-3805
Phone 281-954-6200
Mailing address
18201 Gulf FwyWebster, TX 77598-3805
Phone 281-954-6200
Authorized official
Humaira Qureshi
Billing Manager
2817128033
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