Organization
PERSONAL HEALTH ASSESSMENT
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ROY BRIAN KUPPENBENDER (FOUNDER)
(866) 410-7422
Entity
Organization
Contact information
Practice address
18320 MICHAEL ANGELO DRIVE, DALLAS, TX 75287
(866) 410-7422
Mailing address
18320 MICHAEL ANGELO, DALLAS, TX 75287
(866) 410-7422
Taxonomy
Speciality
Code
Description
License number
State
207RC0001X
Clinical Cardiac Electrophysiology Physician
Primary
—
TX
Other
Enumeration date
03/29/2018
Last updated
07/21/2022
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