A site other than a pharmacy that dispenses medicinal preparations under the supervision of a physician to patients for self-administration. (e.g. physician offices, ER, Urgent Care Centers, Rural Health Facilities, etc.)
TX license #F0848taxonomy 332900000X
Other names on file (2)
Doing-business-as, former, and alternate names recorded by NPPES.
Mohawk Healthy Life Center- Dallas
Type code 3recorded 2021-05-03
Mohawk Healthy Life Center- Dallas
Type code 3recorded 2013-08-20
Practice context
Single-site organization. Only one practice location on file.
Subpart of Medvantx, Inc.
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