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Organization
LASER VAGINAL REJUVENATION INSTITUTE OF DALLAS PA
Active
Organization
LASER VAGINAL REJUVENATION INSTITUTE OF DALLAS PA
Active
Other names
WOMENS WELLNESS INSTITUTE
Organization subpart
No
Provider details
NPI number
Authorized official
TAMMIE M JACKSON (BILLING MGR)
(469) 916-4767
Entity
Organization
Contact information
Practice address
9101 N CENTRAL EXPY, SUITE 550, DALLAS, TX 75231-5927
(214) 442-0055
(214) 442-0056
Mailing address
9101 N CENTRAL EXPY, SUITE 550, DALLAS, TX 75231-5927
(214) 442-0055
(214) 442-0056
Taxonomy
Speciality
Code
Description
License number
State
207V00000X
Obstetrics & Gynecology Physician
Primary
K8880
TX
Other
Enumeration date
06/26/2008
Last updated
06/26/2008
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