| Vax21 Llc | |
|
3050 Post Oak Blvd Ste 510 Houston TX 77056-6512 | |
| (713) 423-3862 | |
| (713) 423-3863 |
| Full Name | Vax21 Llc |
|---|---|
| Speciality | Pharmacy |
| Location | 3050 Post Oak Blvd Ste 510, Houston, Texas |
| Authorized Official Name and Position | Todd Johnson (CEO) |
| Authorized Official Contact | 7134233862 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Vax21 Llc 3050 Post Oak Blvd Ste 510 Houston TX 77056-6512 Ph: (713) 423-3862 | Vax21 Llc 3050 Post Oak Blvd Ste 510 Houston TX 77056-6512 Ph: (713) 423-3862 |
| NPI Number | 1649851601 |
|---|---|
| Provider Enumeration Date | 04/20/2021 |
| Last Update Date | 02/23/2022 |
| Medicare PECOS PAC ID | 7618376237 |
|---|---|
| Medicare Enrollment ID | O20210601001375 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1649851601 | NPI | - | NPPES |
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