| Modyfi MD PLLC | |
|
12 Greenway Plz Ste 1100 Houston TX 77046-1201 | |
| (409) 260-7080 | |
| Not Available |
| Full Name | Modyfi MD PLLC |
|---|---|
| Speciality | Preventive Medicine - Obesity Medicine |
| Location | 12 Greenway Plz Ste 1100, Houston, Texas |
| Authorized Official Name and Position | Charlotte T. Zuniga (MANAGER) |
| Authorized Official Contact | 4092607080 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Modyfi MD PLLC Po Box 25066 Houston TX 77265-5066 Ph: (409) 260-7080 | Modyfi MD PLLC 12 Greenway Plz Ste 1100 Houston TX 77046-1201 Ph: (409) 260-7080 |
| NPI Number | 1356179592 |
|---|---|
| Provider Enumeration Date | 07/22/2024 |
| Last Update Date | 07/22/2024 |
| Certification Date | 07/21/2024 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1356179592 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207R00000X | Internal Medicine | () | Secondary |
| 208000000X | Pediatrics | () | Secondary |
| 2083B0002X | Preventive Medicine - Obesity Medicine | () | Primary |
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