Advanced Lifestyle Solutions PLLC
General Practice in Frisco, TX. Organization (NPI-2).
NPI number1043824543
StatusActive
Last updated in NPPESJan 10, 2022
Details
- NPI
- 1043824543
- Entity type
- Organization (NPI-2)
- Legal business name
- Advanced Lifestyle Solutions PLLC
- Organization subpart
- No
- Enumeration date
- Sep 2, 2020
- Certification date
- Jan 19, 2021
- Last updated
- Jan 10, 2022
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 208D00000X | General Practice | – | – | Yes |
Practice location
9560 Legacy Dr Ste 260Frisco, TX 75033-6753
Phone 469-486-3811
Mailing address
1162 Honey CrkNew Braunfels, TX 78132-3453
Phone 214-310-6763
Authorized official
Rita Pannell
Operatin Manager
2143106763
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