# BODY LOUNGE PARK CITIES, INC.

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- **Entity:** Organization
- **Status:** Active
- **Other names:** Body Lounge Park Cities
- **Organization subpart:** No

## Provider details

- **NPI number:** 1144798083
- **Authorized official:** DR. EDWARD CHARLES LE CARA PHD, DC, APRN-FNP (OWNER)
- **Authorized official phone:** (972) 803-4432

## Contact information

- **Practice address:** 6600 SNIDER PLZ STE 220, DALLAS, TX 75205-1310
- **Practice address phone:** (972) 803-4432
- **Practice address fax:** (833) 256-8061
- **Mailing address:** 6600 SNIDER PLZ STE 220, DALLAS, TX 75205-1310
- **Mailing address phone:** (972) 803-4432
- **Mailing address fax:** (469) 868-6089

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 261QM1300X | Multi-Specialty Clinic/Center | — | — | — |
| 261QR0400X | Rehabilitation Clinic/Center | — | NULL | — |
| 363LP2300X | Primary Care Nurse Practitioner | — | NULL | Yes |
| 363LP2300X | Primary Care Nurse Practitioner | — | — | Yes |

## Other

- **Enumeration date:** 11/08/2018
- **Last updated:** 08/12/2026
