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Organization
MAN ALIVE HORMONE AND WELLNESS CENTER LLC
Active
Organization
MAN ALIVE HORMONE AND WELLNESS CENTER LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
KYLE STANILLA (NURSE PRACTITIONER)
(832) 588-6437
Entity
Organization
Contact information
Practice address
9625 SPENCER HWY # A, LA PORTE, TX 77571-3882
(832) 588-6437
Mailing address
1919 HOLLOW MIST LN, PEARLAND, TX 77581-5689
(832) 588-6437
Taxonomy
Speciality
Code
Description
License number
State
207RE0101X
Endocrinology, Diabetes & Metabolism Physician
Primary
—
—
Other
Enumeration date
06/20/2023
Last updated
06/22/2023
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