Organization
MANTIS EMF XENIA, PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. KEITH FLAK (MANAGING MEMBER)
(713) 532-7311
Entity
Organization
Contact information
Practice address
6701 LAKE WOODLANDS DR, SPRING, TX 77382-2565
(713) 660-1720
Mailing address
12302 PREECE CT, CYPRESS, TX 77429-6081
Taxonomy
Speciality
Code
Description
License number
State
261QA1903X
Ambulatory Surgical Clinic/Center
Primary
—
—
Other
Enumeration date
04/11/2012
Last updated
04/11/2012
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