Organization
MODERN MED INTEGRATIVE HEALTH
Active
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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