Organization
AGELESS MEN'S HEALTH PLLC
Active
Parent organization
AGELESS MEN'S HEALTH HOLDINGS, LLC
Organization subpart
Yes
Provider details
NPI number
Legal business name
AGELESS MEN'S HEALTH HOLDINGS, LLC
Authorized official
MRS. MELISSA C MCCLELLAN (VP OF OPERATIONS)
(901) 757-3643
Entity
Organization
Contact information
Practice address
13435 N US HIGHWAY 183, SUITE 302, AUSTIN, TX 78750-3218
(512) 250-5300
(512) 250-5304
Mailing address
13435 N US HIGHWAY 183, SUITE 302, AUSTIN, TX 78750-3218
(512) 250-5300
(512) 250-5304
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
—
—
Other
Enumeration date
10/26/2012
Last updated
10/26/2012
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