Organization
NEU EU MEDICAL WEIGHT LOSS LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JOY IKERI DNP, AGACNP-BC (ADMIN)
(469) 607-9331
Entity
Organization
Contact information
Practice address
2633 MCKINNEY AVE STE 130 #747, DALLAS, TX 75204
(469) 607-9331
Mailing address
3839 MCKINNEY AVE UNIT 155, DALLAS, TX 75204
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
—
—
363LA2200X
Adult Health Nurse Practitioner
—
—
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
—
—
Other
Enumeration date
09/01/2023
Last updated
01/08/2024
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