Body Spirit & Soul Medical PLLC
Organization Active NPI Family Medicine Physician · Colleyville, TX
NPI 1235909185 · NPPES record last updated Jan 7, 2024
Key facts
- NPI
- 1235909185
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Family Medicine Physician 207Q00000X
- Legal business name
- BODY SPIRIT & SOUL MEDICAL PLLC
- Practice address
- 7165 Colleyville Blvd Ste 102
Colleyville, TX 76034-8010 - Phone
- (972) 983-8915
- Fax
- (949) 695-3905
- NPI assigned
- Jan 2, 2024
- Organization subpart
- No
Authorized official
- Name
- Dr. Joseph B Ventimiglia, MD
- Title
- Physician / Owner
- Phone
- (972) 983-8915
Practitioners 1
-
Joe B Ventimiglia, M.D., PH.D.
National Provider Directory
Locations
7165 Colleyville Blvd
Ste 102
Colleyville, TX 76034
Phone (817) 778-4048
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Medicine Physician |
207Q00000X | Yes |
Addresses
Primary practice location
7165 Colleyville Blvd Ste 102
Colleyville, TX 76034-8010
Mailing address
1611 Pheasant LN
Southlake, TX 76092-3436
Phone (972) 983-8915
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All providers in Colleyville, TX · Family Medicine Physician in Texas
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jan 7, 2024. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.