Organization
BEYOND THE VEIL
Active
Parent organization
BEYOND THE VEIL
Organization subpart
Yes
Provider details
NPI number
Legal business name
BEYOND THE VEIL
Authorized official
DEBORAH BANFILL LPN (OWNER)
(817) 455-6022
Entity
Organization
Contact information
Practice address
7724 MARBLE CANYON DR, FORT WORTH, TX 76137-4156
(817) 455-6022
Mailing address
7724 MARBLE CANYON DR, FORT WORTH, TX 76137-4156
(817) 455-6022
Taxonomy
Speciality
Code
Description
License number
State
261QH0100X
Health Service Clinic/Center
Primary
18558699436
TX
Other
Enumeration date
02/19/2015
Last updated
02/19/2015
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