Organization
ADVANCED HEALTH & DIAGNOSTIC PARTNERS
Active
Organization subpart
No
Provider details
NPI number
Authorized official
KIRT REPP (MANAGING MEMBER)
(281) 831-6290
Entity
Organization
Contact information
Practice address
95 S FAIR MANOR CIR, THE WOODLANDS, TX 77382-1085
(281) 831-6290
(832) 442-3800
Mailing address
6700 WOODLANDS PKWY STE 230-210, THE WOODLANDS, TX 77382-2575
(281) 831-6290
(832) 442-3800
Taxonomy
Speciality
Code
Description
License number
State
2081P2900X
Pain Medicine (Physical Medicine & Rehabilitation) Physician
Primary
—
—
293D00000X
Physiological Laboratory
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1962428656
PHYSICAL MEDICINE AND REHABILITATION
TX
Enumeration date
09/27/2017
Last updated
11/11/2020
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