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Organization

MADE SAPIENS LLC

Active
Other names
Dr. Lift
Organization subpart
No

Provider details

NPI number
Authorized official
AMIR BALUCH MD (MEDICAL DIRECTOR)
(214) 563-4366
Entity
Organization

Contact information

Practice address
3540 N GRAPEVINE MILLS BLVD, GRAPEVINE, TX 76051-1267
(214) 817-1177
Mailing address
2820 MCKINNON ST APT 1068, DALLAS, TX 75201-1015
(786) 813-1362

Taxonomy

Speciality
Code
Description
License number
State
261QA0005X
Ambulatory Family Planning Facility
Primary

Other

Enumeration date
01/17/2025
Last updated
01/19/2025
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