MESOBELLA

SOUTHLAKE, TX
NPI1689740656
Entity TypeOrganization
Authorized ContactTRINA LANZA
Owner
817-291-5780
Organization Subpart ?No
Primary Taxonomy363LF0000X Nurse Practitioner, Family
(Licence: TX  583243)
Enumeration Date2006-11-28
Last Update Date2009-01-06
Business Address
MESOBELLA
731 E SOUTHLAKE BLVD # 180
SOUTHLAKE, TX 76092-6377
Phone number: 817-251-6376
Mailing Address
MESOBELLA
731 E SOUTHLAKE BLVD # 180
SOUTHLAKE, TX 76092-6377
Phone number: 817-251-6376
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