Organization
SOUTHLAKE NATURAL FAMILY WELLNESS, PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
FARIVASH HAMRAIE L.AC (ACUPUNCTURIST)
(817) 410-1919
Entity
Organization
Contact information
Practice address
231 E SOUTHLAKE BLVD STE 120, SOUTHLAKE, TX 76092-6291
(817) 410-1919
(817) 410-1919
Mailing address
231 E SOUTHLAKE BLVD STE 120, SOUTHLAKE, TX 76092-6291
(817) 410-1919
(817) 410-1919
Taxonomy
Speciality
Code
Description
License number
State
171100000X
Acupuncturist
Primary
—
—
Other
Enumeration date
05/29/2019
Last updated
05/29/2019
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