| NPI | 1811605819 |
|---|---|
| Doing Business As | LIVE WELL AT CITI - IRVING/DALLAS |
| Entity Type | Organization |
| Authorized Contact | JONATHAN LEIZMAN President 261-479-9063 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM1300X Clinic/Center, Multi-Specialty |
| Enumeration Date | 2022-11-08 |
| Last Update Date | 2022-11-08 |