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Organization
BODY LOUNGE PARK CITIES, INC.
Active
Organization
BODY LOUNGE PARK CITIES, INC.
Active
Other names
Body Lounge Park Cities
Organization subpart
No
Provider details
NPI number
Authorized official
DR. EDWARD CHARLES LE CARA PHD, DC, APRN-FNP (OWNER)
(972) 803-4432
Entity
Organization
Contact information
Practice address
6600 SNIDER PLZ STE 220, DALLAS, TX 75205-1310
(972) 803-4432
(833) 256-8061
Mailing address
6600 SNIDER PLZ STE 220, DALLAS, TX 75205-1310
(972) 803-4432
(469) 868-6089
Taxonomy
Speciality
Code
Description
License number
State
261QM1300X
Multi-Specialty Clinic/Center
—
—
261QR0400X
Rehabilitation Clinic/Center
—
NULL
363LP2300X
Primary Care Nurse Practitioner
Primary
—
NULL
363LP2300X
Primary Care Nurse Practitioner
Primary
—
—
Other
Enumeration date
11/08/2018
Last updated
08/12/2026
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