| NPI | 1518786631 |
|---|---|
| Former Legal Business Name | THEBELOVEDSHOP, LLC |
| Entity Type | Organization |
| Authorized Contact | JOHN MELEK Owner And Director 972-566-4888 |
| Organization Subpart ? | No |
| Primary Taxonomy | 208VP0014X Pain Medicine, Interventional Pain Medicine |
| Additional Taxonomies | 261Q00000X Clinic/Center |
| Enumeration Date | 2024-10-07 |
| Last Update Date | 2024-10-25 |