Organization
EVOLUTION OF HER BEAUTY LLC
Active
Other names
EVOLUTION MEDICAL, Evolution Care
Organization subpart
No
Provider details
NPI number
Authorized official
MISS FRANCES FENNELL (CEO)
(469) 583-1969
Entity
Organization
Contact information
Practice address
4230 LYNDON B JOHNSON FWY STE 413, DALLAS, TX 75244-5805
(469) 708-3954
Mailing address
4109 KITE LN, MANSFIELD, TX 76063-3498
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
—
—
Other
Enumeration date
01/19/2022
Last updated
02/23/2022
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