| Organization Name: | MIND & BODY HEALTH SOLUTIONS LLC |
| NPI Number: | 1639450018 |
| Entity Type Code: | Organizational (2) |
| Authorized Official Name: | GERMAINE BERNARD HAWKINS (MEDICAL DIRECTOR) |
| Mailing Address: | 920 W Mitchell St Arlington |
| State: | TX US |
| Postal Code: | 760132560 |
| Phone Number: | 8174607080 |
| Fax Number: | 8174601220 |
| NPI Enumeration Date: | 08/30/2011 |
| NPI Last Update Date: | 01/14/2014 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 208D00000X |
| License Number: | L3329 |
| Healthcare Provider Taxonomy: (Secondary) | N |
| State: | TX |
| Taxonomy Type: | Allopathic & Osteopathic Physicians |
| Taxonomy Classification: | General Practice |
| Taxonomy Specialization: | |
| Taxonomy Definition: | |