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NPI Code Detail

MEDICARE: NEW LEAF WELLNESS CENTER LLC

MEDICARE: NEW LEAF WELLNESS CENTER LLC
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1111N00000XChiropractor13363TX

General Provider Information

NPI Number : 1376072702
Entity Type Code : Organization
Provider Name (Legal Business Name) : NEW LEAF WELLNESS CENTER LLC
Provider Business Mailing Address
First Line : 1652 W FRANKFORD RD APT 410
Second Line :
City : CARROLLTON
State : TX
Zip : 75007-4660
Country : US
Telephone Number : 770-630-6957
Fax Number : 770-630-6957
Provider Business Practice Location Address
First Line : 3900 S STONEBRIDGE DR STE 804
Second Line :
City : MCKINNEY
State : TX
Zip : 75070-8059
Country : US
Telephone Number : 214-699-9117
Fax Number : 855-313-8506
Authorized Official
Title or Position : CO-OWNER
Name : DR. COURTNEY ARNOLD
Credential : DC
Telephone Number : 214-699-9117
Provider Enumeration Date : 06/08/2017
Last Update Date : 07/07/2023

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Directions to “NEW LEAF WELLNESS CENTER LLC ” Practice Location

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