Organization
MODERN MED INTEGRATIVE HEALTH
Active
Other names
MODERN MED INTEGRATIVE HEALTH
Organization subpart
No
Provider details
NPI number
Authorized official
NAZIMUDDIN MOHAMMED (OWNER)
(469) 200-4093
Entity
Organization
Contact information
Practice address
281 W SOUTHLAKE BLVD, SOUTHLAKE, TX 76092-7052
(469) 200-4093
(469) 200-4079
Mailing address
281 W SOUTHLAKE BLVD, SOUTHLAKE, TX 76092-7052
(469) 200-4093
(469) 200-4079
Taxonomy
Speciality
Code
Description
License number
State
2084N0400X
Neurology Physician
Primary
—
—
Other
Enumeration date
10/11/2024
Last updated
10/11/2024
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