Healthcare Provider Details

I. General information

NPI: 1982801932
Provider Name (Legal Business Name): SVOBODA, LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 07/02/2007
Last Update Date: 08/22/2020
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

4152 W. SPRING CREEK PKWY. SUITE 160
PLANO TX
75024
US

IV. Provider business mailing address

4152 W. SPRING CREEK PKWY. SUITE 160
PLANO TX
75024
US

V. Phone/Fax

Practice location:
  • Phone: 972-964-9000
  • Fax: 972-964-9034
Mailing address:
  • Phone: 972-964-9000
  • Fax: 972-964-9034

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code261QA0600X
TaxonomyAdult Day Care Clinic/Center
License Number
License Number StateTX

VIII. Authorized Official

Name: HEATHER ZURAN
Title or Position: PRESIDENT
Credential: LVN
Phone: 972-964-9000