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Search › Texas › 246ZC0007X

Ebony Love, LSA

NPI 1598392870 · on the registry since 2020 · sole proprietor

Practice

Address
1417 Jennings Ct
Prosper, TX 75078
Phone
(214) 227-2457
Fax
(214) 764-0880
Organisation at this address
Mirror Image Surgical Assisting Llc
Inferred from a shared address, not stated in the registry.

Registry record

Primary taxonomy
246ZC0007X
246ZC0007X
Also registered as
246ZC0007X
246ZC0007X
Licence states on file
TX
From the registry's licence fields, which are often incomplete.
Sex
Female
Record last updated
2022-07-08

Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Texas