Organization
FEMCLINIC PLLC
Active
Other names
NATURAL BALANCE CLINIC
Organization subpart
No
Provider details
NPI number
Authorized official
DR. LIDA AGHDAM MD (OWNER)
(817) 488-7878
Entity
Organization
Contact information
Practice address
7155 COLLEYVILLE BLVD, SUITE 101, COLLEYVILLE, TX 76034-8003
(817) 488-7878
(817) 488-7877
Mailing address
7155 COLLEYVILLE BLVD, SUITE 101, COLLEYVILLE, TX 76034-8003
(817) 488-7878
(817) 488-7877
Taxonomy
Speciality
Code
Description
License number
State
261QP2300X
Primary Care Clinic/Center
Primary
L4208
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0015RQ
BCBS OF TEXAS
TX
Enumeration date
04/08/2008
Last updated
02/29/2012
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