# MODERN DAY WELLNESS

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1720405384
- **Authorized official:** MS. TRACYE A BYARS RN (OWNER)
- **Authorized official phone:** (817) 475-1139

## Contact information

- **Practice address:** 1421 HURSTVIEW DR, HURST, TX 76053-3947
- **Practice address phone:** (817) 475-1139
- **Mailing address:** 1421 HURSTVIEW DR, HURST, TX 76053-3947
- **Mailing address phone:** (817) 475-1139

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 261QB0400X | Birthing Clinic/Center | 509900 | TX | — |
| 261QC1500X | Community Health Clinic/Center | 509900 | TX | Yes |

## Other

- **Enumeration date:** 03/20/2014
- **Last updated:** 03/20/2014