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General NPI Number Information
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NPI Number | 1831880012
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Entity Type | Organization
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Legal Business Name | RESET MEDICAL PRACTICE P.A.
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Dates
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Enumeration Date | 05/17/2023
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Last Update Date | 05/17/2023
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Provider Practice Location Address
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Address Line | 150 PINE FOREST DR STE 603
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City | SHENANDOAH
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State | TX
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Zip | 77384-5304
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Country | US
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Telephone | 832-934-7066
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Fax |
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Provider Business Mailing Address
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Address Line | 1321 UPLAND DR PMB 16646
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City | HOUSTON
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State | TX
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Zip | 77043
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Country | US
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Telephone |
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Fax |
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Authorized Official
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Title or Position | DIRECTOR
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Name | DR. MICHAEL RANKIN
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Credential | MD
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Telephone | 832-934-7066
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 261Q00000X
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Taxonomy Name | Clinic/Center
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License Number |
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License Number State |
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