| Venus Breast Center Pllc | |
|
630 E State Highway 114 Southlake TX 76092-4410 | |
| (248) 760-3339 | |
| Not Available |
| Full Name | Venus Breast Center Pllc |
|---|---|
| Speciality | Clinic/center |
| Location | 630 E State Highway 114, Southlake, Texas |
| Authorized Official Name and Position | Miral Amin (DIRECTOR) |
| Authorized Official Contact | 2487603339 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Venus Breast Center Pllc 200 N Kimball Ave, Suite 221 #1135 Southlake TX 76092 Ph: (248) 760-3339 | Venus Breast Center Pllc 630 E State Highway 114 Southlake TX 76092-4410 Ph: (248) 760-3339 |
| NPI Number | 1710745559 |
|---|---|
| Provider Enumeration Date | 03/07/2024 |
| Last Update Date | 03/17/2024 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1710745559 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261Q00000X | Clinic/center | (* (Not Available)) | Primary |
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