SearchTexas101YP2500X

Vida Phoenix, L.P.C

NPI 1962607812 · on the registry since 2007 · sole proprietor

Practice

Address
206 N State St Ste 201
Decatur, TX 76234
Phone
(817) 368-3875
Organisation at this address
Thinkspace Therapy
Spade Therapy Co., Pllc
Tower Mutual Holding Company, Inc.
Inferred from a shared address, not stated in the registry.
Clinicians at this address
2

Additional practice sites

  • 155 Fossil Rock Dr, Azle, TX

Registry record

Primary taxonomy
101YP2500X
101YP2500X
Licence states on file
TX
From the registry's licence fields, which are often incomplete.
Sex
Female
Record last updated
2019-02-28

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