| Dallas Colon Therapy, P.c | |
|
2201 Main St Ste 830 Dallas TX 75201-4418 | |
| (214) 893-4882 | |
| Not Available |
| Full Name | Dallas Colon Therapy, P.c |
|---|---|
| Speciality | Social Worker - Clinical |
| Location | 2201 Main St Ste 830, Dallas, Texas |
| Authorized Official Name and Position | Shannon Gales (OWNER) |
| Authorized Official Contact | 2148934882 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Dallas Colon Therapy, P.c 2201 Main St Ste 830 830 Dallas TX 75201-4418 Ph: (214) 893-4882 | Dallas Colon Therapy, P.c 2201 Main St Ste 830 Dallas TX 75201-4418 Ph: (214) 893-4882 |
| NPI Number | 1487916672 |
|---|---|
| Provider Enumeration Date | 06/13/2012 |
| Last Update Date | 06/13/2012 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1487916672 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1041C0700X | Social Worker - Clinical | (* (Not Available)) | Primary |
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