Defy Age Med Spa, Pllc

LBN: Defy Age Med Spa, Pllc
Defy Age Med Spa, Pllc is an health care organization with primary practice located at 2501 Dave Ward Dr Ste A17 , Conway AR 72034-6090. The organization recently has only one registered license in Allopathic & Osteopathic Physicians / Pain Medicine, which is considered as the primary health care specialty. Defy Age Med Spa, Pllc can be contacted via phone (501) 499-9252, or through Whaley, Heather via phone (501) 554-6005.

Contact Information

Primary practice address
2501 Dave Ward Dr Ste A17 Conway AR 72034-6090
Phone: (501) 499-9252
Fax:
Website:
Map and Directions
Authorized official contact:
Name: Whaley, Heather Doctor of Medicine (MD)
Phone: (501) 554-6005

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Pain Medicine 207LP2900X

Profile Details

NPI number 1407515141
LBN Legal business name Defy Age Med Spa, Pllc
DBA Doing business as
Authorized official Whaley, Heather Doctor of Medicine (MD)
Entity Organization
Organization subpart 1 No
Enumeration date Dec 9th, 2021
Last updated Dec 9th, 2021 - about 3 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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