Organization
BACK TO EDEN COMMUNITY CLINIC LLC
Active
Parent organization
BACK TO EDEN
Other names
Back to eden
Organization subpart
Yes
Provider details
NPI number
Legal business name
BACK TO EDEN
Authorized official
TUNYESSE M MURPHY (OWNER)
(708) 224-7163
Entity
Organization
Contact information
Practice address
720 DAVINCI CT, COPPELL, TX 75019-2205
(708) 224-7163
Mailing address
720 DAVINCI CT, COPPELL, TX 75019-2205
(708) 224-7163
Taxonomy
Speciality
Code
Description
License number
State
291U00000X
Clinical Medical Laboratory
Primary
—
—
Other
Enumeration date
03/27/2021
Last updated
05/11/2021
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