| Texas Regen PLLC | |
|
1819 E Broadway St Suite 101 Pearland TX 77581-5671 | |
| (281) 993-2003 | |
| (877) 781-6179 |
| Full Name | Texas Regen PLLC |
|---|---|
| Speciality | General Practice |
| Location | 1819 E Broadway St, Pearland, Texas |
| Authorized Official Name and Position | John E Mcintyre (PRESIDENT) |
| Authorized Official Contact | 2819932003 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Texas Regen PLLC 1819 E Broadway St Suite 101 Pearland TX 77581-5671 Ph: (281) 993-2003 | Texas Regen PLLC 1819 E Broadway St Suite 101 Pearland TX 77581-5671 Ph: (281) 993-2003 |
| NPI Number | 1669007019 |
|---|---|
| Provider Enumeration Date | 03/05/2020 |
| Last Update Date | 03/05/2020 |
| Certification Date | 03/05/2020 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1669007019 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 208D00000X | General Practice | () | Primary |
| 208VP0000X | Pain Medicine - Pain Medicine | () | Secondary |
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