Provider Demographics
NPI:1336767284
Name:TEXAS REGENERATIVE AND INTEGRATIVE CENTERS OF HEALTH PLLC
Entity Type:Organization
Organization Name:TEXAS REGENERATIVE AND INTEGRATIVE CENTERS OF HEALTH PLLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER / PROVIDER
Authorized Official - Prefix:DR
Authorized Official - First Name:LISA
Authorized Official - Middle Name:J
Authorized Official - Last Name:PATEL
Authorized Official - Suffix:
Authorized Official - Credentials:DC
Authorized Official - Phone:281-606-0905
Mailing Address - Street 1:15015 WESTHEIMER PKWY STE K
Mailing Address - Street 2:
Mailing Address - City:HOUSTON
Mailing Address - State:TX
Mailing Address - Zip Code:77082-1677
Mailing Address - Country:US
Mailing Address - Phone:281-606-0905
Mailing Address - Fax:
Practice Address - Street 1:15015 WESTHEIMER PKWY STE K
Practice Address - Street 2:
Practice Address - City:HOUSTON
Practice Address - State:TX
Practice Address - Zip Code:77082-1677
Practice Address - Country:US
Practice Address - Phone:281-606-0905
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2020-07-08
Last Update Date:2020-07-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes208100000XAllopathic & Osteopathic PhysiciansPhysical Medicine & RehabilitationGroup - Multi-Specialty