Active NPI
Ageless Men'S Health,TX, LLC
- Specialist
- Houston, TX
National Provider Identifier
1306198353
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Specialist
- Legal business name
- AGELESS MEN'S HEALTH,TX, LLC
- Practice address
- 9652 Katy Fwy
Houston, TX 77055-6322 - Phone
- (512) 892-1900
- NPI assigned
- Oct 15, 2012
- Organization subpart
- No
Authorized official
NPPES NPI Registry- Name
- Amanda Wilkinson
- Title
- Business Operations Director
- Phone
- (702) 818-0446
National Provider Directory
National Provider Directory- Tax ID family
- Ageless Men'S Health
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Specialties & licenses 1
NPPES NPI Registry| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Specialist | 174400000X | Primary |
Addresses
NPPES NPI RegistryPrimary practice location
9652 Katy Fwy
Houston, TX 77055-6322
Mailing address
9652 Katy Fwy
Houston, TX 77055-6322
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format, last updated by the provider on Nov 11, 2024.
{
"created_epoch": "1350259200000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1731283200000",
"number": "1306198353",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "9652 KATY FWY",
"city": "HOUSTON",
"state": "TX",
"postal_code": "770556322"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "9652 KATY FWY",
"city": "HOUSTON",
"state": "TX",
"postal_code": "770556322",
"telephone_number": "512-892-1900"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "AGELESS MEN'S HEALTH,TX, LLC",
"organizational_subpart": "NO",
"enumeration_date": "2012-10-15",
"last_updated": "2024-11-11",
"certification_date": "2024-11-11",
"status": "A",
"authorized_official_last_name": "WILKINSON",
"authorized_official_first_name": "AMANDA",
"authorized_official_title_or_position": "BUSINESS OPERATIONS DIRECTOR",
"authorized_official_telephone_number": "702-818-0446"
},
"taxonomies": [
{
"code": "174400000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Specialist",
"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 Nov 11, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.