Organization · Type 2 NPI
Reformed Holding LLC
General Practice Physician · Dallas, TX
NPI number
1922573138
Active
Practice location
4435 Mcewen Rd Ste 200
Dallas, TX 75244-5206
Fax (214) 988-3033
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Chiropractor | 111N00000X | None listed |
| General Practice Physician Primary | 208D00000X | None listed |
General Practice Physician: A physician who specializes in the general practice of diagnosing, treating, and managing patients with a variety of illnesses and conditions.
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About NPI 1922573138
Reformed Holding LLC's National Provider Identifier is 1922573138, issued on Oct 4, 2018. The primary taxonomy on file is General Practice Physician (208D00000X), and the practice location is in Dallas, TX. The record was last updated on Oct 4, 2018.