| 21st Century Holistic Health, Llc | |
|
5009 N Main St Houston TX 77009-3620 | |
| (713) 402-8970 | |
| Not Available |
| Full Name | 21st Century Holistic Health, Llc |
|---|---|
| Speciality | Community/behavioral Health |
| Location | 5009 N Main St, Houston, Texas |
| Authorized Official Name and Position | Tracie Lyn Hammelman (OWNER) |
| Authorized Official Contact | 7134028970 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| 21st Century Holistic Health, Llc 5009 N Main St Houston TX 77009-3620 Ph: (713) 402-8970 | 21st Century Holistic Health, Llc 5009 N Main St Houston TX 77009-3620 Ph: (713) 402-8970 |
| NPI Number | 1326344953 |
|---|---|
| Provider Enumeration Date | 01/29/2011 |
| Last Update Date | 01/29/2011 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1326344953 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 251S00000X | Community/behavioral Health | (* (Not Available)) | Primary |
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