Organization
VAN EEDEN, LLC
Active
Other names
Star Wellness
Organization subpart
No
Provider details
NPI number
Authorized official
MS. JOHNETTE H VAN EEDEN (PRESIDENT)
(817) 571-6425
Entity
Organization
Contact information
Practice address
451 WESTPARK WAY STE 1, EULESS, TX 76040-3994
(817) 571-6425
Mailing address
451 WESTPARK WAY STE 1, EULESS, TX 76040-3994
(817) 571-6425
Taxonomy
Speciality
Code
Description
License number
State
261QH0100X
Health Service Clinic/Center
Primary
—
—
Other
Enumeration date
10/06/2008
Last updated
06/07/2012
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