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Organization
ALPHA LIFE INTEGRATED MEDICINE, PLLC
Active
Organization
ALPHA LIFE INTEGRATED MEDICINE, PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. TIMOTHY DALE WARREN DC (AUTHORIZED OFFICIAL)
(316) 882-5353
Entity
Organization
Contact information
Practice address
600 E JOHN CARPENTER FWY STE 354, IRVING, TX 75062-3990
(214) 888-2171
Mailing address
600 E JOHN CARPENTER FWY STE 354, IRVING, TX 75062-3990
Taxonomy
Speciality
Code
Description
License number
State
208100000X
Physical Medicine & Rehabilitation Physician
Primary
—
NULL
208100000X
Physical Medicine & Rehabilitation Physician
Primary
—
—
Other
Enumeration date
12/27/2017
Last updated
02/07/2018
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