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Organization

NULIFE CLINIC, PA

Active
Parent organization
NULIFE CLINIC, PA
Organization subpart
Yes

Provider details

NPI number
Legal business name
NULIFE CLINIC, PA
Authorized official
LISA YOUNG (CFO)
(972) 255-5588
Entity
Organization

Contact information

Practice address
4301 N MACARTHUR BLVD, SUITE 203, IRVING, TX 75038-6497
(972) 255-5588
Mailing address
4301 N MACARTHUR BLVD, SUITE 203, IRVING, TX 75038-6497
(972) 255-5588

Taxonomy

Speciality
Code
Description
License number
State
261QM1300X
Multi-Specialty Clinic/Center
Primary
90-07696258
TX

Other

Enumeration date
06/11/2013
Last updated
12/20/2013
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