| 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 |