| Magnolia Medspa Holdings Pllc | |
|
2111 Kirkwood Blvd Ste 110 Southlake TX 76092-1461 | |
| (817) 329-0102 | |
| Not Available |
| Full Name | Magnolia Medspa Holdings Pllc |
|---|---|
| Speciality | Internal Medicine |
| Location | 2111 Kirkwood Blvd Ste 110, Southlake, Texas |
| Authorized Official Name and Position | Farhan Abdullah (OWNER) |
| Authorized Official Contact | 2054823411 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Magnolia Medspa Holdings Pllc 2111 Kirkwood Blvd Ste 110 Southlake TX 76092-1461 Ph: (817) 329-0102 | Magnolia Medspa Holdings Pllc 2111 Kirkwood Blvd Ste 110 Southlake TX 76092-1461 Ph: (817) 329-0102 |
| NPI Number | 1922844323 |
|---|---|
| Provider Enumeration Date | 07/04/2024 |
| Last Update Date | 07/04/2024 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1922844323 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207R00000X | Internal Medicine | (* (Not Available)) | Primary |
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