Colleyville Body Focus Wellness Clinic, LLC

NPI #1891160552 in Colleyville, Texas

Provider Information

NPI Number: 1891160552
Entity Type: Organization
Organization Name: Colleyville Body Focus Wellness Clinic, LLC
Primary Specialty: Anesthesiology
Enumeration Date: Dec 7, 2015
Last Updated: Dec 7, 2015

Practice Location

Address: 4620 COLLEYVILLE BLVD
Address 2: STE 102
City: Colleyville
State: Texas
ZIP Code: 76034-3971
Phone: (817) 427-3700

Authorized Official

Name: CHERI DAVUS
Title: CREDENTIALING MANAGER
Phone: (972) 792-5700

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Pain Medicine - Pain Medicine — Pain Medicine	208VP0000X
Anesthesiology	207L00000X	Primary

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