NPI | 1841779063 |
---|---|
Doing Business As | HALCYON HEALTH & WELLNESS |
Entity Type | Organization |
Authorized Contact | CHARLES C BROOKER Owner/Provider 817-875-5942 |
Organization Subpart ? | No |
Primary Taxonomy | 207RA0401X Internal Medicine, Addiction Medicine (Licence: AZ 005567) |
Additional Taxonomies | 207R00000X Internal Medicine (Licence: AZ 005667) |
Enumeration Date | 2018-08-08 |
Last Update Date | 2020-04-10 |