Organization
BIOSCAN WELLNESS,LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
LISA MIKKELSEN RN,ICP (PRES/TRES)
(850) 261-0659
Entity
Organization
Contact information
Practice address
1120 E 7TH 1/2 ST, HOUSTON, TX 77009-7131
(850) 261-0659
Mailing address
1120 E 7TH 1/2 ST, HOUSTON, TX 77009-7131
(850) 261-0659
Taxonomy
Speciality
Code
Description
License number
State
251J00000X
Nursing Care Agency
—
—
251S00000X
Community/Behavioral Health Agency
Primary
—
—
Other
Enumeration date
08/05/2020
Last updated
08/05/2020
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