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NPI Code Detail

MEDICARE: A-MAZE-N ENTERPRISES LLC

MEDICARE: A-MAZE-N ENTERPRISES 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
1225400000XRehabilitation Practitioner
2225700000XMassage Therapist

General Provider Information

NPI Number : 1821703463
Entity Type Code : Organization
Provider Name (Legal Business Name) : A-MAZE-N ENTERPRISES LLC
Provider Business Mailing Address
First Line : 3701 PROMINENCE PKWY UNIT 7107
Second Line :
City : DENTON
State : TX
Zip : 76208-2284
Country : US
Telephone Number : 504-810-7092
Fax Number :
Provider Business Practice Location Address
First Line : 3701 PROMINENCE PKWY UNIT 7107
Second Line :
City : DENTON
State : TX
Zip : 76208-2284
Country : US
Telephone Number : 504-810-7092
Fax Number :
Authorized Official
Title or Position : FOUNDER/CEO
Name : JULIAN MAZE
Credential : M.S. L.M.T
Telephone Number : 504-810-7092
Provider Enumeration Date : 01/18/2023
Last Update Date : 01/23/2025

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Directions to “A-MAZE-N ENTERPRISES LLC ” Practice Location

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