Organization
VENUS BREAST CENTER PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MIRAL SAPAN AMIN (MEDICAL DIRECTOR)
(248) 760-3339
Entity
Organization
Contact information
Practice address
1230 N KIMBALL AVE STE 130, SOUTHLAKE, TX 76092-4750
(817) 704-0783
(817) 704-0755
Mailing address
1230 N KIMBALL AVE STE 130, SOUTHLAKE, TX 76092-4750
(817) 704-0783
(817) 704-0755
Taxonomy
Speciality
Code
Description
License number
State
261Q00000X
Clinic/Center
Primary
—
—
Other
Enumeration date
03/07/2024
Last updated
05/01/2026
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