Organization
THE SPA AT STONEBRIDGE RANCH
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JENNIFER PAYNE (PRESIDENT)
(972) 548-2772
Entity
Organization
Contact information
Practice address
6200 VIRGINIA PKWY, MCKINNEY, TX 75071-5504
(972) 548-2772
(972) 548-8485
Mailing address
6200 VIRGINIA PKWY, MCKINNEY, TX 75071-5504
Taxonomy
Speciality
Code
Description
License number
State
335E00000X
Prosthetic/Orthotic Supplier
Primary
1314394
TX
Other
Enumeration date
03/05/2013
Last updated
03/05/2013
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