Organization
PRAETORIAN MEDICAL GROUP LLC
Active
Other names
Praetorian Medical Group
Organization subpart
No
Provider details
NPI number
Authorized official
DR. KENNETH DEWAYNE LANIER PHARMD (OFFICER)
(303) 524-5972
Entity
Organization
Contact information
Practice address
2900 COMMERCIAL CENTER BLVD STE 102, KATY, TX 77494-6724
(813) 279-2729
(813) 279-2729
Mailing address
1880 S DAIRY ASHFORD RD STE 106, HOUSTON, TX 77077-4759
(813) 279-2729
Taxonomy
Speciality
Code
Description
License number
State
261QH0100X
Health Service Clinic/Center
Primary
—
—
261QP2300X
Primary Care Clinic/Center
—
—
Other
Enumeration date
01/15/2018
Last updated
01/15/2018
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