Organization
AGELESS MEN'S HEALTH HOLDINGS, INC
Active
Other names
Ageless Men's Health
Organization subpart
No
Provider details
NPI number
Authorized official
AMANDA WILKINSON (BUSINESS OPERATIONS DIRECTOR)
(702) 818-0446
Entity
Organization
Contact information
Practice address
950 W UNIVERSITY AVE STE 102, GEORGETOWN, TX 78626-6505
(512) 250-5300
Mailing address
950 W UNIVERSITY AVE STE 102, GEORGETOWN, TX 78626-6505
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
—
—
Other
Enumeration date
10/24/2023
Last updated
11/11/2024
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