Healthcare Provider Details

I. General information

NPI: 1063011229
Provider Name (Legal Business Name): A HEALTHIER YOU LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 10/20/2020
Last Update Date: 10/21/2020
Certification Date: 10/21/2020
Deactivation Date:
Reactivation Date:

III. Provider practice location address

5722 FOREST BEND DR STE 110
ARLINGTON TX
76017-1143
US

IV. Provider business mailing address

5722 FOREST BEND DR STE 110
ARLINGTON TX
76017-1143
US

V. Phone/Fax

Practice location:
  • Phone: 800-387-7045
  • Fax: 866-309-0548
Mailing address:
  • Phone: 800-387-7045
  • Fax: 866-309-0548

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code207NS0135X
TaxonomyProcedural Dermatology Physician
License Number
License Number State
# 2
Primary TaxonomyY
Taxonomy Code225700000X
TaxonomyMassage Therapist
License Number
License Number State

VIII. Authorized Official

Name: YOLANDA GARDNER
Title or Position: OWNER
Credential:
Phone: 800-387-7045