| Re-gen Concierge Of Texas Pllc | |
|
5944 Luther Ln Ste 915 Dallas TX 75225-5977 | |
| (803) 665-4539 | |
| Not Available |
| Full Name | Re-gen Concierge Of Texas Pllc |
|---|---|
| Speciality | Clinic/center - Primary Care |
| Location | 5944 Luther Ln Ste 915, Dallas, Texas |
| Authorized Official Name and Position | Jordan Pastorek (MEDICAL DIRECTOR) |
| Authorized Official Contact | 8036654539 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Re-gen Concierge Of Texas Pllc 5944 Luther Ln Ste 915 Dallas TX 75225-5977 Ph: (803) 665-4539 | Re-gen Concierge Of Texas Pllc 5944 Luther Ln Ste 915 Dallas TX 75225-5977 Ph: (803) 665-4539 |
| NPI Number | 1952107278 |
|---|---|
| Provider Enumeration Date | 02/19/2025 |
| Last Update Date | 02/19/2025 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1952107278 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QP2300X | Clinic/center - Primary Care | (* (Not Available)) | Primary |
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