Gswizz Ladies Workout Express

NPI #1427233659 in Manor, Texas

Provider Information

NPI Number
1427233659
Entity Type
Organization
Organization Name
Gswizz Ladies Workout Express
Primary Specialty
Health Maintenance Organization
Enumeration Date
Jan 7, 2008
Last Updated
Jun 26, 2008

Practice Location

Address
13419 US HIGHWAY 290 E
Address 2
BLDG # 7
City
Manor
State
Texas
ZIP Code
78653-4589
Phone
(512) 272-9792

Authorized Official

Name
MRS. SYLVIA PATRICIA BURRELL
Title
OWNER
Phone
(512) 272-9792

Specialties & Taxonomy Codes

Specialty
Health Maintenance Organization

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