| NPI | 1245755081 |
|---|---|
| Doing Business As | LIFEOLOGIE PLANO RICHARDSON |
| Entity Type | Organization |
| Authorized Contact | LY HAI TRAN Owner/Executive Director 214-556-0996 |
| Organization Subpart ? | No |
| Primary Taxonomy | 101Y00000X Counselor (Licence: TX 63770) |
| Enumeration Date | 2017-08-12 |
| Last Update Date | 2022-07-21 |