NPI | 1902150022 |
---|---|
Doing Business As | ALLIANCE MEDICAL SPA |
Entity Type | Organization |
Authorized Contact | MICHAEL L BAILEY Owner 817-306-9494 |
Organization Subpart ? | No |
Primary Taxonomy | 207Q00000X Family Medicine (Licence: UT K5446) |
Enumeration Date | 2012-10-29 |
Last Update Date | 2012-10-29 |