ATIVA HEALTH CENTER LLC

FORT WORTH, TX
NPI1659688406
Entity TypeOrganization
Authorized ContactYULIA POLIKHOVA
Owner
817-536-0219
Organization Subpart ?No
Primary Taxonomy207Q00000X Family Medicine
Enumeration Date2010-08-31
Last Update Date2010-08-31
Business Address
ATIVA HEALTH CENTER LLC
3510 E LANCASTER AVE SUITE B
FORT WORTH, TX 76103-2555
Phone number: 817-536-0219
Mailing Address
ATIVA HEALTH CENTER LLC
3510 E LANCASTER AVE SUITE B
FORT WORTH, TX 76103-2555
Phone number: 817-536-0219