Organization
LIFENET
Active
Organization subpart
No
Provider details
NPI number
Authorized official
LIAM MULVANEY (CEO)
(214) 221-5433
Entity
Organization
Contact information
Practice address
9708 SKILLMAN ST, DALLAS, TX 75243-5150
(214) 221-5433
(214) 932-1977
Mailing address
9708 SKILLMAN ST, DALLAS, TX 75243-5150
(214) 221-5433
(214) 932-1977
Taxonomy
Speciality
Code
Description
License number
State
302R00000X
Health Maintenance Organization
Primary
—
TX
Other
Enumeration date
11/19/2012
Last updated
11/19/2012
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