BODY LOUNGE PARK CITIES NPI 1144798083

NPI Information

NPI: 1144798083
Provider Name: BODY LOUNGE PARK CITIES
Classification: Clinic/Center - 261QR0400X
Entity Type: Organization

Specialization: Rehabilitation

CLIA Number: 45D2189515

Address:
6803 HILLCREST AVE
DALLAS, TX
ZIP 75205
Phone: (972) 803-4432
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BODY LOUNGE PARK CITIES is a rehabilitation clinic center in Dallas, TX. BODY LOUNGE PARK CITIES NPI is 1144798083. The provider is registered as an organization entity type.

The provider's business location address is:

6803 HILLCREST AVE
DALLAS, TX
ZIP 75205-308
Phone: (972) 803-4432
Fax: (833) 256-8061

The provider's authorized official is Edward Charles Le Cara .
The authorized official title is Clinician and has the following contact phone number (972) 803-4432.

The CLIA number assigned to this NPI record is 45D2189515 - physician office with a certificate type of Certificate of Registration.

The enumeration date for this NPI number is 11/8/2018 and was last updated on 9/23/2021.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	261QM1300X	Clinic/Center	Multi-Specialty			No
2	261QR0400X	Clinic/Center	Rehabilitation			Yes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/14/2023

NPI Synchronization or Removal

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