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Organization
PUR WELLNESS AND AESTHETICS
Active
Organization
PUR WELLNESS AND AESTHETICS
Active
Other names
Midtowne Wellness and Aesthetics
Organization subpart
No
Provider details
NPI number
Authorized official
JACQUELINE REBECCA MILES NP (OWNER)
(702) 493-5720
Entity
Organization
Contact information
Practice address
529 GEORGE HOPPER RD., SUITE A, MIDLOTHAIN, TX 76065
(469) 231-4596
Mailing address
529 GEORGE HOPPER RD., SUITE A, MIDLOTHAIN, TX 76065
(469) 231-4596
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
—
NULL
363L00000X
Nurse Practitioner
Primary
—
—
Other
Enumeration date
11/09/2021
Last updated
11/09/2021
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