| NPI Details | |
|---|---|
| NPI | 1013329184 |
| Enumeration Date | 05/23/2014 |
| Last Updated | 05/23/2014 |
| Entity Type | Healthcare Provider |
| Active | Over 3 years ago |
| Authorized Information | |
|---|---|
| Name | GWENDOLYN GWENDOLYN |
| Position | OWNER |
| Phone | (469) 337-6402 |
| Fax | |
| Practice Location | |
|---|---|
| 610 UPTOWN BLVD CEDAR HILL TX, 75104-3527, US |
|
| Phone | (469) 337-6402 |
| Fax | |
| Business Location | |
|---|---|
| 610 UPTOWN BLVD CEDAR HILL TX, 75104-3527, US |
|
| Phone | (469) 337-6402 |
| Fax | |
| Toxanomy | |
|---|---|
| Taxonomy Code | 1835G0303X |
| License State | Texas |
| License Number | 43907 |
| Remove 1013329184 NPI Number | |
According to our database, Health Diversity Llc NPI is 1013329184, taxonomy code is 1835G0303X and license number is 43907, license state is located at Texas. Health Diversity Llc physically located at 610 Uptown Blvd, Cedar Hill TX, 75104-3527. NPI Number 1033115704 has the healthcare provider type.
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1013329184 NPI number is provided on an as is basis without warranty of any kind. 1013329184 is maintained by the National Plan & Provider Enumeration System. The contents of Health Diversity Llc are for informational purposes only.
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