TRADITIONAL HOLISTIC WELLNESS,LLC
Acupuncture at Bethel Rd, Coppell, TX

License number
Texas AC01118
Category
Acupuncture
Type
Acupuncturist
Owner
Name: DENISE EDMISTON L.AC.
Title: OWNER
Phone: (512) 250-8124
Address
Address
413 W Bethel Rd SUITE 202, Coppell, TX 75019
National Provider ID: 1700113230
LicenseFiles verified this license of Nov 7, 2017 at the National Plan and Provider Enumeration System.

Organization information

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TRADITIONAL HOLISTIC WELLNESS, LLC

Coppell, TX  -  Plano, TX

Industry:
Health/Allied Services
Registration:
Feb 26, 2009
Addresses:
116 Dickens Dr, Coppell, TX 75019 (Mailing)
5700 Granite Pkwy, Plano, TX 75024
State ID:
0801091402
Business type:
Domestic Limited Liability Company (LLC)
Director, Managing Member:
Denise Edmiston (Director, Managing Member), 116 Dickens Dr, Coppell, TX 75019
Agent:
Henry Edmiston,116 Dickens Dr, Coppell, TX 75019 (Physical)
TIN:
32038978808

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