713 Wellness And Aesthetics Center | |
2150 Highway 6 S Ste 180 Houston TX 77077-4328 | |
(832) 693-5851 | |
(832) 364-6567 |
Full Name | 713 Wellness And Aesthetics Center |
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Speciality | Family Medicine |
Location | 2150 Highway 6 S Ste 180, Houston, Texas |
Authorized Official Name and Position | Kiria Vallina (OWNER) |
Authorized Official Contact | 8326935851 |
Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
Mailing Address | Practice Location Address |
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713 Wellness And Aesthetics Center 5911 Horse Prairie Dr Katy TX 77449-1715 Ph: (832) 693-5851 | 713 Wellness And Aesthetics Center 2150 Highway 6 S Ste 180 Houston TX 77077-4328 Ph: (832) 693-5851 |
NPI Number | 1902517790 |
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Provider Enumeration Date | 12/12/2022 |
Last Update Date | 12/12/2022 |
Medicare PECOS PAC ID | 2163896648 |
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Medicare Enrollment ID | O20230323002890 |
Identifier | Type | State | Issuer |
---|---|---|---|
1902517790 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207Q00000X | Family Medicine | (* (Not Available)) | Primary |
Provider Name | Kiria Vallina |
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Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1508583691 PECOS PAC ID: 3072987551 Enrollment ID: I20230323002963 |
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