Organization
KINGDOM WELLNESS LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
LATONYA BROWN (ADMINISTRATOR)
(214) 493-0538
Entity
Organization
Contact information
Practice address
8330 LBJ FWY STE 550, DALLAS, TX 75243-1223
(214) 954-7113
Mailing address
8330 LBJ FWY STE 550, DALLAS, TX 75243-1223
Taxonomy
Speciality
Code
Description
License number
State
261Q00000X
Clinic/Center
Primary
—
—
Other
Enumeration date
07/29/2021
Last updated
07/29/2021
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