Organization
INNOVATE FUNCTIONAL CARE L.L.C
Active
Organization subpart
No
Provider details
NPI number
Authorized official
HOFFMANN GIOVANNY POSSO A.A (CEO)
(682) 327-5410
Entity
Organization
Contact information
Practice address
517 N CARRIER PKWY, GRAND PRAIRIE, TX 75050-5484
(682) 327-5410
Mailing address
517 N CARRIER PKWY, GRAND PRAIRIE, TX 75050-5484
(682) 327-5410
Taxonomy
Speciality
Code
Description
License number
State
261Q00000X
Clinic/Center
Primary
—
—
Other
Enumeration date
03/23/2023
Last updated
03/23/2023
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