| Body Spirit & Soul Medical Pllc | |
|
7165 Colleyville Blvd Ste 102 Colleyville TX 76034-8010 | |
| (972) 983-8915 | |
| (949) 695-3905 |
| Full Name | Body Spirit & Soul Medical Pllc |
|---|---|
| Speciality | Family Medicine |
| Location | 7165 Colleyville Blvd Ste 102, Colleyville, Texas |
| Authorized Official Name and Position | Joseph B Ventimiglia (PHYSICIAN / OWNER) |
| Authorized Official Contact | 9729838915 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Body Spirit & Soul Medical Pllc 1611 Pheasant Ln Southlake TX 76092-3436 Ph: (972) 983-8915 | Body Spirit & Soul Medical Pllc 7165 Colleyville Blvd Ste 102 Colleyville TX 76034-8010 Ph: (972) 983-8915 |
| NPI Number | 1235909185 |
|---|---|
| Provider Enumeration Date | 01/02/2024 |
| Last Update Date | 01/07/2024 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1235909185 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | (* (Not Available)) | Primary |
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