Provider Demographics
NPI:1407003601
Name:INTERNATIONAL EXECUTIVE AND HEALTHCARE SOLUTIONS, LLC
Entity Type:Organization
Organization Name:INTERNATIONAL EXECUTIVE AND HEALTHCARE SOLUTIONS, LLC
Other - Org Name:AESTHETIC SURGERY INSTITUTE
Other - Org Type:Doing Business As
Authorized Official - Title/Position:MEDICAL DIRECTOR
Authorized Official - Prefix:DR
Authorized Official - First Name:PHU
Authorized Official - Middle Name:
Authorized Official - Last Name:DO
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:713-892-5476
Mailing Address - Street 1:3005 WEST LOOP S
Mailing Address - Street 2:SUITE 225
Mailing Address - City:HOUSTON
Mailing Address - State:TX
Mailing Address - Zip Code:77027-6100
Mailing Address - Country:US
Mailing Address - Phone:713-892-5476
Mailing Address - Fax:713-622-8346
Practice Address - Street 1:3005 WEST LOOP S
Practice Address - Street 2:SUITE 225
Practice Address - City:HOUSTON
Practice Address - State:TX
Practice Address - Zip Code:77027-6100
Practice Address - Country:US
Practice Address - Phone:713-892-5476
Practice Address - Fax:713-622-8346
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2008-08-19
Last Update Date:2008-08-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TXL2224208600000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes208600000XAllopathic & Osteopathic PhysiciansSurgeryGroup - Single Specialty