Organization
THE CENTER FOR RENEWED HEALTH & WELLNESS, P.A.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
NIKKI A WALDEN M.D. (PRESIDENT)
(214) 763-2992
Entity
Organization
Contact information
Practice address
3625 N HALL ST, SUITE 600, DALLAS, TX 75219-5106
(214) 763-1576
Mailing address
PO BOX 118383, ATTENTION: MIKE WALDEN, CARROLLTON, TX 75011-8383
(214) 763-1576
Taxonomy
Speciality
Code
Description
License number
State
207V00000X
Obstetrics & Gynecology Physician
Primary
L8999
TX
Other
Enumeration date
02/03/2014
Last updated
02/03/2014
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