Healthcare Provider Details

I. General information

NPI: 1396147153
Provider Name (Legal Business Name): TVE LIFE TIME WELLNESS ARTS
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 09/23/2014
Last Update Date: 09/23/2014
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

327 W SPRING VALLEY RD
RICHARDSON TX
75081-4037
US

IV. Provider business mailing address

327 W SPRING VALLEY RD
RICHARDSON TX
75081-4037
US

V. Phone/Fax

Practice location:
  • Phone: 972-238-8886
  • Fax: 972-238-8889
Mailing address:
  • Phone: 972-238-8886
  • Fax: 972-238-8889

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code174400000X
TaxonomySpecialist
License Number
License Number State

VIII. Authorized Official

Name: QUOC-ANH C TRAN
Title or Position: CEO/OWNER
Credential:
Phone: 972-238-8886