Revolution Wellness And Prevention

LBN: Amity Lynn Smith, Pllc
Revolution Wellness And Prevention is an health care organization with primary practice located at 601 Zena Rucker Rd Ste 105, Southlake TX 76092-6386. The organization recently has only one registered license in Ambulatory Health Care Facilities / Medical Specialty, which is considered as the primary health care specialty. Amity Lynn Smith, Pllc can be contacted via phone (817) 466-2837, or through Smith, Amity Lynn via phone (817) 488-2837.

Contact Information

Primary practice address
601 Zena Rucker Rd Ste 105 Southlake TX 76092-6386
Fax: (817) 488-6335
Website:
Authorized official contact:
Name: Smith, Amity Lynn Doctor of Medicine (MD)

Health care specialties

SpecialtyCodeLicense #State
Ambulatory Health Care Facilities / Medical Specialty 261QM2500X L9802 Texas

Profile Details

NPI number 1114323987
LBN Legal business name Amity Lynn Smith, Pllc
DBA Doing business as Revolution Wellness And Prevention
Authorized official Smith, Amity Lynn Doctor of Medicine (MD)
Entity Organization
Organization subpart 1 No
Enumeration date Nov 6th, 2014
Last updated Nov 6th, 2014 - about 10 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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