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Organization
ANTIAGING CENTERS OF TEXAS MDPA
Active
Organization
ANTIAGING CENTERS OF TEXAS MDPA
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. AJAY K AGGARWAL (AUTHORIZED OFFICER)
(877) 433-4352
Entity
Organization
Contact information
Practice address
2646 S LOOP W STE 300, HOUSTON, TX 77054-2678
(713) 589-9115
(281) 201-4560
Mailing address
5318 WESLAYAN ST # 183, HOUSTON, TX 77005-1048
(713) 589-9115
(281) 201-4560
Taxonomy
Speciality
Code
Description
License number
State
2083P0901X
Public Health & General Preventive Medicine Physician
Primary
—
NULL
2083P0901X
Public Health & General Preventive Medicine Physician
Primary
—
—
Other
Enumeration date
10/17/2007
Last updated
12/04/2008
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