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Organization

BODY SPIRIT & SOUL MEDICAL PLLC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
DR. JOSEPH B VENTIMIGLIA MD (PHYSICIAN / OWNER)
(972) 983-8915
Entity
Organization

Contact information

Practice address
7165 COLLEYVILLE BLVD STE 102, COLLEYVILLE, TX 76034-8010
(972) 983-8915
(949) 695-3905
Mailing address
1611 PHEASANT LN, SOUTHLAKE, TX 76092-3436
(972) 983-8915

Taxonomy

Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary

Other

Enumeration date
01/02/2024
Last updated
01/07/2024
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