Organization
TEXAS ANTIAGING MEDICINE INSTITUTE
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. HONG DAVIS M.D. (OWNER)
(972) 867-5888
Entity
Organization
Contact information
Practice address
13701 DALLAS PKWY, DALLAS, TX 75240-4335
(214) 235-5967
Mailing address
6300 STONEWOOD DR STE 202, PLANO, TX 75024-5281
(972) 867-5888
Taxonomy
Speciality
Code
Description
License number
State
174H00000X
Health Educator
Primary
—
—
Other
Enumeration date
02/16/2011
Last updated
02/16/2011
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