Organization
VICKI'S MAKING FACES
Active
Other names
Vicki's Making Faces
Organization subpart
No
Provider details
NPI number
Authorized official
VICKI HANSEN (OWNER)
(817) 908-6639
Entity
Organization
Contact information
Practice address
3615 W PIONEER PKWY, PANTEGO, TX 76013-4599
(817) 908-6639
Mailing address
3615 W PIONEER PKWY, PANTEGO, TX 76013-4599
Taxonomy
Speciality
Code
Description
License number
State
246Z00000X
Other Specialist/Technologist
Primary
—
—
Other
Enumeration date
04/28/2023
Last updated
07/26/2023
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