Organization Name: | TITAN MEN'S HEALTH |
NPI Number: | 1053726141 |
Entity Type Code: | Organizational (2) |
Authorized Official Name: | AARON ASHTON (PARTNER) |
Mailing Address: | 2785 Gulf Fwy S Suite 115 League City |
State: | TX US |
Postal Code: | 775734979 |
Phone Number: | 8324091408 |
Fax Number: | 8327381176 |
NPI Enumeration Date: | 06/26/2014 |
NPI Last Update Date: | 01/16/2015 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 261QP2300X |
License Number: | |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | |
Taxonomy Type: | Ambulatory Health Care Facilities |
Taxonomy Classification: | Clinic/Center |
Taxonomy Specialization: | Primary Care |
Taxonomy Definition: |