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Organization
PRAETORIAN RX LLC
Active
Organization
PRAETORIAN RX LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
KELYN LANIER (EXECUTIVE DIRECTOR)
(303) 524-5972
Entity
Organization
Contact information
Practice address
1880 S DAIRY ASHFORD RD STE 106, HOUSTON, TX 77077-4759
(303) 524-5972
(813) 279-2728
Mailing address
1880 S DAIRY ASHFORD RD STE 106, HOUSTON, TX 77077-4759
(303) 524-5972
(813) 279-2728
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
—
—
183500000X
Pharmacist
—
—
207Q00000X
Family Medicine Physician
Primary
—
—
2084P0800X
Psychiatry Physician
—
—
Other
Enumeration date
05/17/2017
Last updated
07/21/2022
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