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1780043695
PRODIGY WELLNESS PLLC
FRISCO, TX
NPI
1780043695
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Entity Type
Organization
Authorized Contact
SAMAD KHAN
Owner
585-978-0796
Organization Subpart ?
No
Primary Taxonomy
174400000X Specialist
(Licence: TX Q6046)
Enumeration Date
2016-02-19
Last Update Date
2016-02-19
Business Address
PRODIGY WELLNESS PLLC
4040 LEGACY DR SUITE 204
FRISCO, TX 75034-6748
Phone number: 585-978-0796
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Mailing Address
PRODIGY WELLNESS PLLC
4040 LEGACY DR SUITE 204
FRISCO, TX 75034-6748
Phone number: 585-978-0796
Copy
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