Organization
AESTHETIC MEDICAL CENTER
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. SANDRA A RODRIGUEZ ADMIN (ADMIN)
(281) 646-1935
Entity
Organization
Contact information
Practice address
2505 DUNLAVY ST, HOUSTON, TX 77006-2405
(281) 809-0207
(281) 809-6598
Mailing address
2505 DUNLAVY ST, HOUSTON, TX 77006-2405
(281) 809-0207
(281) 809-6598
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
K4195
TX
Other
Enumeration date
05/12/2015
Last updated
05/12/2015
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