Organization · Type 2 NPI
Forever Young Health Spa, P.a.
Pain Clinic/Center · Sunnyvale, TX
NPI number
1134417926
Active
Practice location
118 North Jobson Road
Sunnyvale, TX 75182-5001
Mailing address
118 N. Jobson Road
Sunnyvale, TX 75182-5001
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Pain Clinic/Center Primary | 261QP3300X | N1089 (TX) |
Pain Clinic/Center: Definition to come...
About NPI 1134417926
Forever Young Health Spa, P.a.'s National Provider Identifier is 1134417926, issued on Jul 14, 2011. The primary taxonomy on file is Pain Clinic/Center (261QP3300X), and the practice location is in Sunnyvale, TX. The record was last updated on Jul 14, 2011.