Provider Demographics
NPI:1750867321
Name:MODERN HEALTH ENTERPRISES, L.L.C.
Entity Type:Organization
Organization Name:MODERN HEALTH ENTERPRISES, L.L.C.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PERSONNEL
Authorized Official - Prefix:
Authorized Official - First Name:BUSINESS
Authorized Official - Middle Name:
Authorized Official - Last Name:OFFICE
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:832-827-2276
Mailing Address - Street 1:10710 KUYKENDAHL RD STE 185
Mailing Address - Street 2:
Mailing Address - City:THE WOODLANDS
Mailing Address - State:TX
Mailing Address - Zip Code:77381-2695
Mailing Address - Country:US
Mailing Address - Phone:
Mailing Address - Fax:
Practice Address - Street 1:10710 KUYKENDAHL RD STE 185
Practice Address - Street 2:
Practice Address - City:THE WOODLANDS
Practice Address - State:TX
Practice Address - Zip Code:77381-2695
Practice Address - Country:US
Practice Address - Phone:832-827-2276
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2018-07-16
Last Update Date:2022-03-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261Q00000XAmbulatory Health Care FacilitiesClinic/Center