Healthcare Provider Details
I. General information
NPI: 1578965588
Provider Name (Legal Business Name): TVE WELLNESS CENTER INC
Entity Type: Organization
Gender:
Sole Proprietor:
II. Dates (important events)
Enumeration Date: 09/22/2014
Last Update Date: 09/22/2014
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
- Phone: 972-238-8886
- Fax: 972-238-8889
- Phone: 972-238-8886
- Fax: 972-238-8889
VI. Provider taxonomy
Scope of Practice (Provider specialty)
| # 1 | |
| Primary Taxonomy | Y |
| Taxonomy Code | 305S00000X |
| Taxonomy | Point of Service |
| License Number | |
| License Number State | |
VIII. Authorized Official
Name:
QUOC-ANH
C
TRAN
Title or Position: CEO/OWNER
Credential:
Phone: 972-238-8886