| Residual Health Center | |
|
1106 N Hwy 360 Ste 300 Grand Prairie TX 75050-2511 | |
| (682) 323-7661 | |
| Not Available |
| Full Name | Residual Health Center |
|---|---|
| Speciality | Clinic/center |
| Location | 1106 N Hwy 360 Ste 300, Grand Prairie, Texas |
| Authorized Official Name and Position | Renadja Taylor (CEO/OWNER) |
| Authorized Official Contact | 6823237661 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Residual Health Center 1106 N Hwy 360 Ste 300 Grand Prairie TX 75050-2511 Ph: (682) 323-7661 | Residual Health Center 1106 N Hwy 360 Ste 300 Grand Prairie TX 75050-2511 Ph: (682) 323-7661 |
| NPI Number | 1952061913 |
|---|---|
| Provider Enumeration Date | 12/17/2021 |
| Last Update Date | 10/25/2022 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1952061913 | NPI | - | NPPES |
| 16643395 | Other | TX | HEALTH & WELLNESS |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261Q00000X | Clinic/center | (* (Not Available)) | Primary |
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