Anti Aging Center of Texas

NPI #1720804776 in Sugarland, Texas

Provider Information

NPI Number: 1720804776
Entity Type: Organization
Organization Name: Anti Aging Center of Texas
Primary Specialty: Internal Medicine
Enumeration Date: Nov 25, 2024
Last Updated: Nov 25, 2024

Practice Location

Address: 1400 CREEKWAY DRIVE
Address 2: STE 201A
City: Sugarland
State: Texas
ZIP Code: 77478-4073
Phone: (281) 759-6437

Authorized Official

Name: JOSIER MARIANO NISNISAN, M.D.
Title: CEO/PRESIDENT
Phone: (281) 759-6437

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Internal Medicine	207R00000X	Primary

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Nimra Pasha, MD	Internal Medicine	Sugarland	AI Deep Dive
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Organizations

Provider Name	Specialty	City
Primary Health Network of South Texas	Internal Medicine	Sugarland	AI Deep Dive
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