LIVE WELL MD PA

DALLAS, TX
NPI1265729453
Entity TypeOrganization
Authorized ContactHENRY T HORRILLENO
Owner
214-388-4808
Organization Subpart ?No
Primary Taxonomy2086S0129X 
(Licence: TX  G1042)
Enumeration Date2011-07-07
Last Update Date2011-07-07
Business Address
LIVE WELL MD PA
4808 S BUCKNER BLVD
DALLAS, TX 75227-2348
Phone number: 214-388-4808
Mailing Address
LIVE WELL MD PA
4808 S BUCKNER BLVD
DALLAS, TX 75227-2348
Phone number: 214-388-4808
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