Provider Demographics
NPI:1417533852
Name:MAXWELL SOLUTIONS LLC
Entity Type:Organization
Organization Name:MAXWELL SOLUTIONS LLC
Other - Org Name:THE MED CLINIC
Other - Org Type:Doing Business As
Authorized Official - Title/Position:MANAGING MEMBER
Authorized Official - Prefix:MR
Authorized Official - First Name:HENRY
Authorized Official - Middle Name:
Authorized Official - Last Name:NGUYEN
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:832-944-5570
Mailing Address - Street 1:12454 BEECHNUT ST STE 10
Mailing Address - Street 2:
Mailing Address - City:HOUSTON
Mailing Address - State:TX
Mailing Address - Zip Code:77072-3987
Mailing Address - Country:US
Mailing Address - Phone:832-944-5570
Mailing Address - Fax:832-843-9989
Practice Address - Street 1:12454 BEECHNUT ST STE 10
Practice Address - Street 2:
Practice Address - City:HOUSTON
Practice Address - State:TX
Practice Address - Zip Code:77072-3987
Practice Address - Country:US
Practice Address - Phone:832-944-5570
Practice Address - Fax:832-843-9989
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2021-03-23
Last Update Date:2021-09-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes208D00000XAllopathic & Osteopathic PhysiciansGeneral PracticeGroup - Multi-Specialty
No207RC0000XAllopathic & Osteopathic PhysiciansInternal MedicineCardiovascular DiseaseGroup - Multi-Specialty