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Organization
TESTOSTERONE AND WELLNESS CENTERS OF AMERICA
Active
Organization
TESTOSTERONE AND WELLNESS CENTERS OF AMERICA
Active
Organization subpart
No
Provider details
NPI number
Authorized official
IVONNE BRAXTON (FNP-BC)
(956) 650-0186
Entity
Organization
Contact information
Practice address
1540 LOST TRL, KELLER, TX 76248-8421
(956) 650-0186
Mailing address
1540 LOST TRL, KELLER, TX 76248-8421
(956) 650-0186
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
677692
TX
Other
Enumeration date
07/19/2011
Last updated
07/19/2011
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