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Organization

AGELESS MEN'S HEALTH,TX, LLC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
AMANDA WILKINSON (BUSINESS OPERATIONS DIRECTOR)
(702) 818-0446
Entity
Organization

Contact information

Practice address
9652 KATY FWY, HOUSTON, TX 77055-6322
(512) 892-1900
Mailing address
9652 KATY FWY, HOUSTON, TX 77055-6322

Taxonomy

Speciality
Code
Description
License number
State
174400000X
Specialist
Primary

Other

Enumeration date
10/15/2012
Last updated
11/11/2024
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