NPI | 1285324731 |
---|---|
Former Legal Business Name | LYRAD HEALTH |
Entity Type | Organization |
Authorized Contact | ANGELA MORGAN Business Office Administrator 817-819-8206 |
Organization Subpart ? | No |
Primary Taxonomy | 208D00000X General Practice |
Enumeration Date | 2023-05-09 |
Last Update Date | 2023-05-09 |