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Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.

PURE RADIANCE LASER RETREAT

Active Organization

PURE RADIANCE LASER RETREAT is a Family Medicine organization located in TYLER, Texas. NPI 1013306273 is currently active in the NPPES registry. Verify at CMS.

Family Medicine · TYLER, TX

Registration Details

NPI Number
1013306273
Provider Type
Organization
NPI Issued
Jan 12, 2015 (11.600391253032 yrs)
Last Updated
Jan 12, 2015

Practice Information

Address
6722 S BROADWAY AVE
TYLER, TX, 757034730
Browse TX providers · Browse ZIP 75703
Phone
9035610300
Primary Specialty
Family Medicine
207Q00000X
Data sourced from the NPPES National Provider Identifier registry. Healthcare organizations registered in NPPES are assigned an NPI number for use in insurance billing and claims. This information is for informational purposes only. For official verification, use the NPPES NPI Registry.