Organization
MODERN DAY WELLNESS
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. TRACYE A BYARS RN (OWNER)
(817) 475-1139
Entity
Organization
Contact information
Practice address
1421 HURSTVIEW DR, HURST, TX 76053-3947
(817) 475-1139
Mailing address
1421 HURSTVIEW DR, HURST, TX 76053-3947
(817) 475-1139
Taxonomy
Speciality
Code
Description
License number
State
261QB0400X
Birthing Clinic/Center
509900
TX
261QC1500X
Community Health Clinic/Center
Primary
509900
TX
Other
Enumeration date
03/20/2014
Last updated
03/20/2014
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