Provider Demographics
NPI:1487479515
Name:DOCTOR IN YOGA PANTS
Entity type:Organization
Organization Name:DOCTOR IN YOGA PANTS
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:DR
Authorized Official - First Name:IFY
Authorized Official - Middle Name:
Authorized Official - Last Name:NZENWA
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:469-258-5227
Mailing Address - Street 1:15720 ARTIST WAY
Mailing Address - Street 2:SUITE 2910
Mailing Address - City:ADDISON
Mailing Address - State:TX
Mailing Address - Zip Code:75001
Mailing Address - Country:US
Mailing Address - Phone:
Mailing Address - Fax:
Practice Address - Street 1:15720 ARTIST WAY
Practice Address - Street 2:SUITE 2910
Practice Address - City:ADDISON
Practice Address - State:TX
Practice Address - Zip Code:75001
Practice Address - Country:US
Practice Address - Phone:718-902-7654
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2024-11-22
Last Update Date:2024-11-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207QB0002XAllopathic & Osteopathic PhysiciansFamily MedicineObesity MedicineGroup - Single Specialty