| NPI | 1053744417 |
|---|---|
| Doing Business As | MOHAWK HEALTHY LIFE CENTER- DALLAS |
| Entity Type | Organization |
| Authorized Contact | KENNY HEINE VP Of Operations 858-964-1506 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 332900000X Non-Pharmacy Dispensing Site (Licence: TX F0848) |
| Enumeration Date | 2013-08-20 |
| Last Update Date | 2021-05-03 |