| My Vibes Llc | |
|
27158 Triton Drive Spring Branch TX 78070 | |
| (830) 708-0767 | |
| Not Available |
| Full Name | My Vibes Llc |
|---|---|
| Speciality | Clinic/center |
| Location | 27158 Triton Drive, Spring Branch, Texas |
| Authorized Official Name and Position | Shannon Malish (CEO) |
| Authorized Official Contact | 8307080767 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| My Vibes Llc 110 Clear Pond Crt Spring Branch TX 78070 Ph: (830) 708-0767 | My Vibes Llc 27158 Triton Drive Spring Branch TX 78070 Ph: (830) 708-0767 |
| NPI Number | 1609375229 |
|---|---|
| Provider Enumeration Date | 02/09/2018 |
| Last Update Date | 02/09/2018 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1609375229 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261Q00000X | Clinic/center | (* (Not Available)) | Primary |
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