Ageless Men'S Health Holdings, Inc
Organization Active NPI Family Medicine Physician · Georgetown, TX
NPI 1013789973 · NPPES record last updated Nov 11, 2024
Key facts
- NPI
- 1013789973
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Family Medicine Physician 207Q00000X
- Legal business name
- AGELESS MEN'S HEALTH HOLDINGS, INC
- Practice address
- 950 W University Ave Ste 102
Georgetown, TX 78626-6505 - Phone
- (512) 250-5300
- NPI assigned
- Oct 24, 2023
- Organization subpart
- No
Authorized official
- Name
- Amanda Wilkinson
- Title
- Business Operations Director
- Phone
- (702) 818-0446
Corporate family (same tax ID) 17
Practitioners 1
-
Constance Elaine King, NP-C
National Provider Directory
- Tax ID family
- Ageless Men'S Health
Locations
950 W University Ave
Ste 102
Georgetown, TX 78626
Phone (512) 240-5682
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Medicine Physician |
207Q00000X | Yes |
Addresses
Primary practice location
950 W University Ave Ste 102
Georgetown, TX 78626-6505
Mailing address
950 W University Ave Ste 102
Georgetown, TX 78626-6505
Other names
- Ageless Men's Health
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Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Nov 11, 2024. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.