Joint Rejuvenation Center, PLLC
Surgery, Plastic and Reconstructive Surgery in Houston, TX. Organization (NPI-2).
NPI number1982111399
StatusActive
Last updated in NPPESJan 8, 2018
Details
- NPI
- 1982111399
- Entity type
- Organization (NPI-2)
- Legal business name
- Joint Rejuvenation Center, PLLC
- Organization subpart
- No
- Enumeration date
- Jan 8, 2018
- Last updated
- Jan 8, 2018
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 2086S0122X | Surgery, Plastic and Reconstructive Surgery | J4553 | TX | Yes |
Practice location
2724 Yale StHouston, TX 77008-2120
Phone 713-706-6143 · Fax 832-409-3169
Mailing address
2724 Yale StHouston, TX 77008-2120
Phone 713-706-6143 · Fax 832-409-3169
Authorized official
Joshua Erickson
Operations
8322127547
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