NPI | 1437719754 |
---|---|
Doing Business As | BLUVIDA PRECISION HEALTH & WELLNESS - PORT ARTHUR |
Entity Type | Organization |
Authorized Contact | HAMID R JALALI Owner 409-745-4421 |
Organization Subpart ? | No |
Primary Taxonomy | 261Q00000X Clinic/Center |
Enumeration Date | 2019-06-18 |
Last Update Date | 2019-06-18 |