| Lord And Lady Wellness & Aesthetics | |
|
5001 Tx 114 Apt 4102 Northlake TX 76262 | |
| (817) 918-8725 | |
| (682) 316-9277 |
| Full Name | Lord And Lady Wellness & Aesthetics |
|---|---|
| Speciality | Clinic/center - Primary Care |
| Location | 5001 Tx 114, Northlake, Texas |
| Authorized Official Name and Position | Farrah Christian (OWNER) |
| Authorized Official Contact | 8177518118 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Lord And Lady Wellness & Aesthetics 5001 Tx 114 Apt 4102 Northlake TX 76262 Ph: (817) 918-8725 | Lord And Lady Wellness & Aesthetics 5001 Tx 114 Apt 4102 Northlake TX 76262 Ph: (817) 918-8725 |
| NPI Number | 1821726191 |
|---|---|
| Provider Enumeration Date | 08/12/2022 |
| Last Update Date | 08/17/2022 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1821726191 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QP2300X | Clinic/center - Primary Care | (* (Not Available)) | Primary |
Adjuva Primary Care Inc. Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 4901 State Highway 114, Suite 102, Northlake, TX 76262 Phone: 817-554-2121 Fax: 817-813-8183 | |
Justin Medical Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 1545 Westview Ln, Northlake, TX 76226 Phone: 940-368-7769 |