713 Wellness And Aesthetics Center
Family Medicine in Houston, TX. Organization (NPI-2).
NPI number1902517790
StatusActive
Last updated in NPPESDec 12, 2022
Details
- NPI
- 1902517790
- Entity type
- Organization (NPI-2)
- Legal business name
- 713 Wellness And Aesthetics Center
- Organization subpart
- No
- Enumeration date
- Dec 12, 2022
- Certification date
- Dec 12, 2022
- Last updated
- Dec 12, 2022
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 207Q00000X | Family Medicine | – | – | Yes |
Other names
- 713 Wellness And Aesthetics Center (Former Legal Business Name)
Practice location
2150 Highway 6 S Ste 180Houston, TX 77077-4328
Phone 832-693-5851 · Fax 832-364-6567
Mailing address
5911 Horse Prairie DrKaty, TX 77449-1715
Phone 832-693-5851
Authorized official
Kiria Vallina
Owner
8326935851
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