Envy Iv, Llc | |
4070 State Hwy Suite 412 Carrollton TX 75010 | |
(469) 216-1102 | |
Not Available |
Full Name | Envy Iv, Llc |
---|---|
Speciality | Clinic/center - Primary Care |
Location | 4070 State Hwy Suite 412, Carrollton, Texas |
Authorized Official Name and Position | Jayoung Jeong (PROVIDER) |
Authorized Official Contact | 4692161102 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
---|---|
Envy Iv, Llc 12060 Bamberg Ln Frisco TX 75035-6991 Ph: (214) 404-6413 | Envy Iv, Llc 4070 State Hwy Suite 412 Carrollton TX 75010 Ph: (469) 216-1102 |
NPI Number | 1033982749 |
---|---|
Provider Enumeration Date | 11/03/2023 |
Last Update Date | 11/03/2023 |
Identifier | Type | State | Issuer |
---|---|---|---|
1033982749 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
261QP2300X | Clinic/center - Primary Care | (* (Not Available)) | Primary |
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