NPI | 1356133680 |
---|---|
Doing Business As | LIFESPAN WELLNESS CENTER |
Entity Type | Organization |
Authorized Contact | WAFER S GAMIL Sole Member/Medical Director 469-664-0070 |
Organization Subpart ? | No |
Primary Taxonomy | 207R00000X Internal Medicine |
Enumeration Date | 2025-05-21 |
Last Update Date | 2025-05-21 |