NPI 1093969792

Massage Space, Co.

Organisation Health Maintenance Organization Plano, TX

Practice location

Address: 4152 W Spring Creek Pkwy STE 116, Plano, TX 75024-5315
Phone: (972) 612-5363
Fax: (972) 612-5782

Authorised official

Name: Anatoly V. Kolmakov
Title: Owner
Phone: (972) 612-5363

Registered specialties

Health Maintenance Organization Primary

Managed Care Organizations Taxonomy 302R00000X

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Registry record

NPI: 1093969792
Entity type: Organization
NPI issued: 6 Nov 2008
Record last updated: 21 Jul 2022

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.