Magnolia Medspa Holdings Pllc

NPI #1922844323 in Southlake, Texas

Provider Information

NPI Number: 1922844323
Entity Type: Organization
Organization Name: Magnolia Medspa Holdings Pllc
Primary Specialty: Internal Medicine
Enumeration Date: Jul 4, 2024
Last Updated: Jul 4, 2024

Practice Location

Address: 2111 KIRKWOOD BLVD STE 110
City: Southlake
State: Texas
ZIP Code: 76092-1461
Phone: (817) 329-0102

Authorized Official

Name: DR. FARHAN ABDULLAH, DO
Title: OWNER
Phone: (205) 482-3411

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Internal Medicine	207R00000X	Primary

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