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Organization
IV DRIP REJUVENATION AND HEALTH MOBILE CARE
Active
Organization
IV DRIP REJUVENATION AND HEALTH MOBILE CARE
Active
Organization subpart
No
Provider details
NPI number
Authorized official
GUILLERMO MACIAS (NURSE PRACTITIONER - FAMILY)
(832) 274-8180
Entity
Organization
Contact information
Practice address
825 SOUTHMORE AVE STE 207, PASADENA, TX 77502-1111
(281) 783-4022
Mailing address
825 SOUTHMORE AVE STE 207825, PASADENA, TX 77502-1111
(281) 783-4022
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
—
—
Other
Enumeration date
05/14/2024
Last updated
05/14/2024
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