Organization
LORD AND LADY WELLNESS & AESTHETICS
Active
Other names
Maverick Medical Care
Organization subpart
No
Provider details
NPI number
Authorized official
FARRAH CHRISTIAN NP (OWNER)
(817) 751-8118
Entity
Organization
Contact information
Practice address
5001 TX 114, APT 4102, NORTHLAKE, TX 76262
(817) 918-8725
(682) 316-9277
Mailing address
5001 TX 114, APT 4102, NORTHLAKE, TX 76262
(817) 918-8725
(682) 316-9277
Taxonomy
Speciality
Code
Description
License number
State
261QP2300X
Primary Care Clinic/Center
Primary
—
—
Other
Enumeration date
08/12/2022
Last updated
08/17/2022
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