Organization
SLB LEWISVILLE CLINIC I, LLC
Active
Other names
Life Steps Lewisville I
Organization subpart
No
Provider details
NPI number
Authorized official
SHANDA BICKELHAUPT (OWNER)
(214) 478-4297
Entity
Organization
Contact information
Practice address
3501 N MACARTHUR BLVD STE 350A, IRVING, TX 75062-3651
(972) 353-5437
(972) 353-5436
Mailing address
3501 N MACARTHUR BLVD STE 350A, IRVING, TX 75062-3651
(972) 353-5437
(972) 353-5436
Taxonomy
Speciality
Code
Description
License number
State
261QR0401X
Comprehensive Outpatient Rehabilitation Facility (CORF)
Primary
—
—
Other
Enumeration date
07/10/2008
Last updated
07/21/2022
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