Life Restore Md | |
3012 E Hebron Pkwy Suite 116 Carrollton TX 75010-4464 | |
(214) 444-7567 | |
Not Available |
Full Name | Life Restore Md |
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Speciality | General Practice |
Location | 3012 E Hebron Pkwy, Carrollton, Texas |
Authorized Official Name and Position | Jorge N Chavarria (OWNER) |
Authorized Official Contact | 4695835807 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
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Life Restore Md 3012 E Hebron Pkwy Suite 116 Carrollton TX 75010-4464 Ph: (214) 444-7567 | Life Restore Md 3012 E Hebron Pkwy Suite 116 Carrollton TX 75010-4464 Ph: (214) 444-7567 |
NPI Number | 1538615695 |
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Provider Enumeration Date | 08/29/2016 |
Last Update Date | 08/29/2016 |
Identifier | Type | State | Issuer |
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1538615695 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
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208D00000X | General Practice | (* (Not Available)) | Primary |
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