Organization
FOREVER YOUNG HEALTH SPA, P.A.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
NANCY RAJAGIRIYIL (CEO)
(214) 455-9029
Entity
Organization
Contact information
Practice address
118 NORTH JOBSON ROAD, SUNNYVALE, TX 75182-5001
(214) 455-9029
Mailing address
118 N. JOBSON ROAD, SUNNYVALE, TX 75182-5001
Taxonomy
Speciality
Code
Description
License number
State
261QP3300X
Pain Clinic/Center
Primary
N1089
TX
Other
Enumeration date
07/14/2011
Last updated
07/14/2011
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