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Liferestore Md Usa Llc
Multi-Specialty Clinic/Center in Dallas, Texas
NPI 1922542075

Liferestore Md Usa Llc is a Multi-Specialty Clinic/Center based in Dallas, TX and is specialized in Multi-Specialty. Liferestore Md Usa Llc practices in Dallas, TX. The NPI Number for Liferestore Md Usa Llc is 1922542075 and holds a License No. (Texas).

The current practice location address for Liferestore Md Usa Llc is 3910 Gaston Ave Ste 140, Dallas, TX and can be reached out via phone at 214-494-8121 and via fax at 972-707-0702.

Location: 3910 Gaston Ave Ste 140, Dallas, TX, 75246-1523
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
institution
Provider Profile Details
NPI Number
1922542075
Provider Name
Liferestore Md Usa Llc
Credential
Provider Entity Type
Organization
Address
3910 Gaston Ave Ste 140, Dallas, TX, 75246-1523
Phone Number
214-494-8121
Fax Number
972-707-0702
Provider Enumeration Date
12/08/2016
Last Update Date
03/09/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
1922542075 01 TX NPI
institution
Provider Business Practice Location Address Details
Address
3910 Gaston Ave Ste 140
City
Dallas
State
Texas
Zip
75246-1523
Phone Number
214-494-8121
Fax Number
972-707-0702
person
Provider Business Mailing Address Details
Address
3910 Gaston Ave Ste 140
City
Dallas
State
Texas
Zip
75246-1523
Phone Number
214-494-8121
Fax Number
972-707-0702
person
Provider's Taxonomy Details 1
Type
Ambulatory Health Care Facilities
Classification
Clinic/Center
Speciality
Multi-Specialty
Taxonomy
261QM1300X
License No.
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Definition
Definition to come...
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