Organization
SIMPLYAWARE LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
FAYNE A BOUGUYON (OWNER)
(214) 476-1719
Entity
Organization
Contact information
Practice address
1719 ANALOG DR, RICHARDSON, TX 75081-1944
(214) 476-1719
Mailing address
2606 CHINKAPIN LN, ROWLETT, TX 75089-1611
(214) 476-1719
Taxonomy
Speciality
Code
Description
License number
State
171400000X
Health & Wellness Coach
Primary
—
—
174H00000X
Health Educator
—
—
2255A2300X
Athletic Trainer
—
—
225700000X
Massage Therapist
—
—
225800000X
Recreation Therapist
—
—
Other
Enumeration date
01/12/2023
Last updated
01/12/2023
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