Age Well Concierge Medicine

LBN: Age Well Concierge Medicine
Age Well Concierge Medicine is an health care organization with primary practice located at 18441 Tx-105 Suite B, Montgomery TX 77356. The organization recently has only one registered license in Allopathic & Osteopathic Physicians / Family Medicine, which is considered as the primary health care specialty. Age Well Concierge Medicine can be contacted via phone (936) 494-9520, or through Milford, Monica via phone (936) 494-9520.

Contact Information

Primary practice address
18441 Tx-105 Suite B Montgomery TX 77356
Phone: (936) 494-9520
Fax:
Website:
Map and Directions
Authorized official contact:
Name: Milford, Monica Family Nurse Practitioner (FNP)
Phone: (936) 494-9520

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Family Medicine 207Q00000X

Profile Details

NPI number 1952919490
LBN Legal business name Age Well Concierge Medicine
DBA Doing business as
Authorized official Milford, Monica Family Nurse Practitioner (FNP)
Entity Organization
Organization subpart 1 No
Enumeration date Jul 21st, 2020
Last updated Jul 21st, 2020 - about 6 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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Identifiers

StateTypeNumberIssuer
All States NPI 1952919490 NPPES
Texas Other 1922335199 AETNA
Texas Other 1922335199 AETNA
Texas Other 1922335199 AETNA

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