Organization
VISTA REJUVENATION & WELLNESS CENTER LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. USMAN A LIGALI (ADMINISTRATOR/MANAGER)
(832) 438-8943
Entity
Organization
Contact information
Practice address
11301 RICHMOND AVE STE K109, HOUSTON, TX 77082-5549
(832) 328-5350
Mailing address
11301 RICHMOND AVE STE K109, HOUSTON, TX 77082-5549
(832) 328-5350
Taxonomy
Speciality
Code
Description
License number
State
261QM1300X
Multi-Specialty Clinic/Center
Primary
—
—
Other
Enumeration date
02/21/2023
Last updated
02/21/2023
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