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Organization
NXTGEN LLC
Active
Organization
NXTGEN LLC
Active
Other names
Nxtgen Health and Wellness
Organization subpart
No
Provider details
NPI number
Authorized official
MATTHEW KELLEHER (PRESIDENT)
(619) 251-9367
Entity
Organization
Contact information
Practice address
1570 S DAIRY ASHFORD RD, 108, HOUSTON, TX 77077-3855
(832) 243-5233
(832) 770-4987
Mailing address
1570 S DAIRY ASHFORD RD, 108, HOUSTON, TX 77077-3855
(832) 243-5233
(832) 770-4987
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
12731
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
5901637
NCPDP PROVIDER IDENTIFICATION NUMBER
—
Enumeration date
05/20/2010
Last updated
01/12/2017
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