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Organization

HOUSTON INSTITUTE OF MEDICINE AND AESTHETICS PLLC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
DR. MARK E HENNESSY M.D. (OWNER)
(210) 422-1191
Entity
Organization

Contact information

Practice address
403 N YORK ST, HOUSTON, TX 77003-1752
(214) 422-1191
Mailing address
403 N YORK ST, HOUSTON, TX 77003-1752
(214) 422-1191

Taxonomy

Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
TX
208VP0000X
Pain Medicine Physician
TX

Other

Enumeration date
01/19/2016
Last updated
01/19/2016
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