Organization
AVEO NEUROHEALTH LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. KENNETH D LANIER PHARMD (OFFICER)
(303) 524-5972
Entity
Organization
Contact information
Practice address
19875 SOUTHWEST FWY STE 100, SUGAR LAND, TX 77479-3502
(303) 524-5972
Mailing address
1880 S DAIRY ASHFORD RD STE 106, HOUSTON, TX 77077-4759
(303) 524-5972
Taxonomy
Speciality
Code
Description
License number
State
261QH0100X
Health Service Clinic/Center
Primary
—
TX
261QM0801X
Mental Health Clinic/Center (Including Community Mental Health Center)
—
TX
Other
Enumeration date
12/19/2017
Last updated
03/17/2018
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