| Athena Testosterone And Weight Loss Pllc | |
|
29910 Jordan Crossing Boulevard 100 Brookshire TX 77423 | |
| (281) 375-9481 | |
| Not Available |
| Full Name | Athena Testosterone And Weight Loss Pllc |
|---|---|
| Speciality | Clinic/Center |
| Location | 29910 Jordan Crossing Boulevard 100, Brookshire, Texas |
| Authorized Official Name and Position | Senthilnyaki Kasiraja (MANAGING PARTNER) |
| Authorized Official Contact | 4034070967 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Athena Testosterone And Weight Loss Pllc 29910 Jordan Crossing Boulevard 100 Brookshire TX 77423 Ph: (281) 375-9481 | Athena Testosterone And Weight Loss Pllc 29910 Jordan Crossing Boulevard 100 Brookshire TX 77423 Ph: (281) 375-9481 |
| NPI Number | 1578395174 |
|---|---|
| Provider Enumeration Date | 08/14/2024 |
| Last Update Date | 08/14/2024 |
| Medicare PECOS PAC ID | 6709307093 |
|---|---|
| Medicare Enrollment ID | O20250303002258 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1578395174 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261Q00000X | Clinic/center | (* (Not Available)) | Primary |
| Provider Name | Senthilnayaki Kasiraja |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1346868536 PECOS PAC ID: 0941690747 Enrollment ID: I20211210000377 |
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