MEDICARE: X FACTOR MD MED SPA LLC

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	207V00000X	Obstetrics & Gynecology Physician

General Provider Information

NPI Number	:	1811702079
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	X FACTOR MD MED SPA LLC

Provider Business Mailing Address
First Line	:	5251 WESTHEIMER RD STE 710
Second Line	:
City	:	HOUSTON
State	:	TX
Zip	:	77056-5412
Country	:	US
Telephone Number	:
Fax Number	:

Provider Business Practice Location Address
First Line	:	5251 WESTHEIMER RD STE 710
Second Line	:
City	:	HOUSTON
State	:	TX
Zip	:	77056-5412
Country	:	US
Telephone Number	:	281-900-5720
Fax Number	:

Authorized Official
Title or Position	:	MD
Name	:	RACHANA SUTARIA
Credential	:
Telephone Number	:	281-900-5720

Provider Enumeration Date	:	02/12/2025
Last Update Date	:	06/13/2025

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Directions to “X FACTOR MD MED SPA LLC ” Practice Location

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