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Organization
TEXAS HEALTHY AGING AND HORMONE THERAPY LLC
Active
Organization
TEXAS HEALTHY AGING AND HORMONE THERAPY LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
LORI SHAE HOPPER APN-C (SOLE MBR)
(940) 325-3706
Entity
Organization
Contact information
Practice address
202 SW 25TH AVE, SUITE 1200, MINERAL WELLS, TX 76067-8298
(940) 325-3706
(940) 325-6200
Mailing address
202 SW 25TH AVE, SUITE 1200, MINERAL WELLS, TX 76067-8298
(940) 325-3706
(940) 325-6200
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
—
—
Other
Enumeration date
03/14/2017
Last updated
03/14/2017
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