Organization
ADVANCED COMPOUNDING ENTERPRISES
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MIKHAIL FUKSHANSKY M.D. (MEDICAL DIRECTOR)
(281) 404-3161
Entity
Organization
Contact information
Practice address
250 BLOSSOM ST STE 120C, WEBSTER, TX 77598-4243
(281) 404-3161
(281) 724-9485
Mailing address
250 BLOSSOM ST STE 120C, WEBSTER, TX 77598-4243
(281) 404-3161
(281) 724-9485
Taxonomy
Speciality
Code
Description
License number
State
291U00000X
Clinical Medical Laboratory
Primary
—
—
Other
Enumeration date
12/19/2012
Last updated
12/19/2012
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