| NPI | 1639276843 |
|---|---|
| Doing Business As | RADIANCE WELLNESS MEDISPA |
| Doing Business As | KLEIMAN EVANGELISTA EYE CENTERS OF TEXAS |
| Entity Type | Organization |
| Authorized Contact | CHRISTIAN ELLISON CEO 720-273-7449 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261Q00000X |
| Enumeration Date | 2006-09-20 |
| Last Update Date | 2020-08-20 |