Organization
BELLA FONTANA SPA, LTD.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
RUTH ELIZABETH NUCKOLS COX (CEO)
(903) 893-6222
Entity
Organization
Contact information
Practice address
101 E JONES ST, SHERMAN, TX 75090-7120
(903) 893-6222
(903) 892-9686
Mailing address
101 E JONES ST, SHERMAN, TX 75090-7120
(903) 893-6222
(903) 892-9686
Taxonomy
Speciality
Code
Description
License number
State
261Q00000X
Clinic/Center
Primary
F009453
TX
Other
Enumeration date
05/28/2011
Last updated
05/28/2011
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