Organization
A PLATINUM FOUNDATION
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MISS BROOKE CHEREE MCGOWAN (PRESIDENT)
18666746040
Entity
Organization
Contact information
Practice address
1921 WINDCHIME DR, DALLAS, TX 75224-4822
(186) 667-4604
Mailing address
1921 WINDCHIME DR, DALLAS, TX 75224-4822
(186) 667-4604
Taxonomy
Speciality
Code
Description
License number
State
251V00000X
Voluntary or Charitable Agency
Primary
—
TX
Other
Enumeration date
12/06/2012
Last updated
12/06/2012
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