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Alpha Life Integrated Medicine, PLLC

Physical Medicine & Rehabilitation in Irving, TX. Organization (NPI-2).

NPI number1679089783
StatusActive
Last updated in NPPESFeb 7, 2018

Details

NPI
1679089783
Entity type
Organization (NPI-2)
Legal business name
Alpha Life Integrated Medicine, PLLC
Organization subpart
No
Enumeration date
Dec 27, 2017
Last updated
Feb 7, 2018

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
208100000X Physical Medicine & Rehabilitation––Yes

Practice location

600 E John Carpenter Fwy Ste 354
Irving, TX 75062-3990

Phone 214-888-2171

Mailing address

600 E John Carpenter Fwy Ste 354
Irving, TX 75062-3990

Authorized official

Timothy Dale Warren
Authorized Official
3168825353

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