T-Vitality Mobile Homes LLC

NPI #1417609843 in Kennedale, Texas

Provider Information

NPI Number
1417609843
Entity Type
Organization
Organization Name
T-Vitality Mobile Homes LLC
Primary Specialty
Clinical Medical Laboratory
Enumeration Date
Jan 26, 2022
Last Updated
Jan 26, 2022

Practice Location

Address
104 CREEK SIDE CT
State
Texas
ZIP Code
76060-5401
Phone
(940) 453-3314

Authorized Official

Name
TAMMARA FRANKLIN
Title
ADMINISTRATOR
Phone
(940) 453-3314

Specialties & Taxonomy Codes

Specialty
Clinical Medical Laboratory

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