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A physician who specializes in the general practice of diagnosing, treating, and managing patients with a variety of illnesses and conditions.
Specialty |
Taxonomy Code | Specialty Code | Provider Type | |
General Practice |
208D00000X | 99 | Physician/Undefined Physician type[6] | |
Mental Health |
101YM0800X |
| NPI Number | 1700433653 |
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| LBN Legal business name | GLC WELLNESS CENTER TEXAS LLC | ||||||||||||||||
| Authorized official | DANTE YOUNG - (CEO) | ||||||||||||||||
| Entity | Organization | ||||||||||||||||
| Organization subpart 1 | No | ||||||||||||||||
| Enumeration date | 08/23/2019 | ||||||||||||||||
| Last updated | 06/30/2023 - About 3 years ago | ||||||||||||||||
| Identifiers |
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GLC WELLNESS CENTER TEXAS LLC
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GLC WELLNESS CENTER TEXAS LLC