Organization
MODERN MEDICINE PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
KEVIN TAVANGARIAN MD (MD)
(832) 607-5704
Entity
Organization
Contact information
Practice address
919 REINICKE ST STE A, HOUSTON, TX 77007-5191
(346) 351-7958
(803) 932-9618
Mailing address
919 REINICKE ST STE A, HOUSTON, TX 77007-5191
(346) 351-7958
(803) 932-9618
Taxonomy
Speciality
Code
Description
License number
State
261QM1300X
Multi-Specialty Clinic/Center
Primary
—
—
Other
Enumeration date
03/04/2022
Last updated
03/14/2022
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