Organization Name: | HORMONE WELLNESS CENTER OF TEXAS |
NPI Number: | 1548672033 |
Entity Type Code: | Organizational (2) |
Authorized Official Name: | RODNEY JAMES DELMONICO (GENERAL MANAGER) |
Mailing Address: | 3305 Northland Dr Suite 301 Austin |
State: | TX US |
Postal Code: | 787314961 |
Phone Number: | 5124582000 |
Fax Number: | 5124582007 |
NPI Enumeration Date: | 06/02/2014 |
NPI Last Update Date: | 06/02/2014 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 208D00000X |
License Number: | |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | |
Taxonomy Type: | Allopathic & Osteopathic Physicians |
Taxonomy Classification: | General Practice |
Taxonomy Specialization: | |
Taxonomy Definition: |