Organization
SISTA2SISTA INSPIRING GROWTH
Active
Organization subpart
No
Provider details
NPI number
Authorized official
TAWANA D PARHAM (OWNER)
(469) 387-4837
Entity
Organization
Contact information
Practice address
609 RAIN LILY DR, DESOTO, TX 75115-6668
(469) 387-4837
Mailing address
609 RAIN LILY DR, DESOTO, TX 75115-6668
(469) 387-4837
Taxonomy
Speciality
Code
Description
License number
State
251B00000X
Case Management Agency
Primary
—
—
Other
Enumeration date
12/18/2018
Last updated
03/10/2023
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