MODERN MEDICINE PLLC NPI 1255088720

NPI Information

  • NPI: 1255088720
  • Provider Name: MODERN MEDICINE PLLC
  • Classification: Clinic/Center - 261QM1300X
  • Specialization: Multi-Specialty
  • Entity Type: Organization
  • Address: 919 REINICKE ST STE A
    HOUSTON, TX
    ZIP 77007
  • Phone: (346) 351-7958

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NPI Details

MODERN MEDICINE PLLC is a multi-specialty clinic center in Houston, TX. MODERN MEDICINE PLLC NPI is 1255088720. The provider is registered as an organization entity type.

The provider's business location address is:

919 REINICKE ST STE A
HOUSTON, TX
ZIP 77007-191
Phone: (346) 351-7958
Fax: (803) 932-9618

The provider's authorized official is Kevin Tavangarian .
The authorized official title is Md and has the following contact phone number (832) 607-5704.

The enumeration date for this NPI number is 3/4/2022 and was last updated on 3/14/2022.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1261QM1300XClinic/CenterMulti-SpecialtyYes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 3/30/2025

NPI Synchronization or Removal

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