Organization
YES TO PERFECT HEALTH INC
Active
Other names
Live Forever Young Inc
Organization subpart
No
Provider details
NPI number
Authorized official
DR. VICTORIA T LE D.C. (PRESIDENT)
(972) 506-8776
Entity
Organization
Contact information
Practice address
1111 KINWEST PKWY, SUITE 130, IRVING, TX 75063-3409
(972) 506-8776
(972) 501-0083
Mailing address
1111 KINWEST PKWY, SUITE 130, IRVING, TX 75063-3409
(972) 506-8776
(972) 501-0083
Taxonomy
Speciality
Code
Description
License number
State
111NN1001X
Nutrition Chiropractor
Primary
10534
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
00Z340
MEDICARE PTAN
TX
Enumeration date
01/04/2008
Last updated
05/20/2009
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