Organization Active NPI

Antiaging Centers of Texas Mdpa

  • Public Health & General Preventive Medicine Physician
  • Houston, TX
National Provider Identifier
1043409881
Registry record updated Dec 4, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Public Health & General Preventive Medicine PhysicianTaxonomy code 2083P0901X
Legal business name
ANTIAGING CENTERS OF TEXAS MDPA
Practice address
2646 S Loop W Ste 300
Houston, TX 77054-2678
Phone
(713) 589-9115
Fax
(281) 201-4560
NPI assigned
Oct 17, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 4, 2008

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Mrs. Ajay K Aggarwal
Title
Authorized Officer
Phone
(877) 433-4352

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Public Health & General Preventive Medicine PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 2083P0901X Primary

Addresses

Primary practice location

2646 S Loop W Ste 300
Houston, TX 77054-2678

Mailing address

5318 Weslayan St # 183
Houston, TX 77005-1048
Phone (713) 589-9115

National Provider Directory

National Provider Directory

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1192579200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1228348800000",
    "number": "1043409881",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5318 WESLAYAN ST # 183",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "770051048",
            "telephone_number": "713-589-9115",
            "fax_number": "281-201-4560"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2646 S LOOP W STE 300",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "770542678",
            "telephone_number": "713-589-9115",
            "fax_number": "281-201-4560"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ANTIAGING CENTERS OF TEXAS MDPA",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-10-17",
        "last_updated": "2008-12-04",
        "status": "A",
        "authorized_official_last_name": "AGGARWAL",
        "authorized_official_first_name": "AJAY",
        "authorized_official_middle_name": "K",
        "authorized_official_title_or_position": "AUTHORIZED OFFICER",
        "authorized_official_telephone_number": "877-433-4352",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "2083P0901X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Preventive Medicine, Public Health & General Preventive Medicine",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Houston, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 4, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.