Organization
LIVE YOUNG, PA
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. JORDAN PASTOREK M.D. (FOUNDER)
(214) 369-8717
Entity
Organization
Contact information
Practice address
7515 GREENVILLE AVE, SUITE 1005, DALLAS, TX 75231-3831
(214) 369-8717
(214) 369-7937
Mailing address
7515 GREENVILLE AVE, SUITE 1005, DALLAS, TX 75231-3831
(214) 369-8717
(214) 369-7937
Taxonomy
Speciality
Code
Description
License number
State
261QM0850X
Adult Mental Health Clinic/Center
Primary
M1286
TX
Other
Enumeration date
06/22/2015
Last updated
06/22/2015
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