Provider Demographics
NPI:1083983464
Name:ENJOY YOUR LIFE FAMILY SERVICES INC
Entity Type:Organization
Organization Name:ENJOY YOUR LIFE FAMILY SERVICES INC
Other - Org Name:MASDON PROFESSIONAL SERVICES
Other - Org Type:Doing Business As
Authorized Official - Title/Position:FOUNDER/DIRECTOR
Authorized Official - Prefix:DR
Authorized Official - First Name:TERESA
Authorized Official - Middle Name:
Authorized Official - Last Name:MASDON
Authorized Official - Suffix:
Authorized Official - Credentials:PHD
Authorized Official - Phone:972-625-2631
Mailing Address - Street 1:1101 S BROADWAY ST STE 260
Mailing Address - Street 2:
Mailing Address - City:CARROLLTON
Mailing Address - State:TX
Mailing Address - Zip Code:75006-7277
Mailing Address - Country:US
Mailing Address - Phone:
Mailing Address - Fax:
Practice Address - Street 1:1101 S BROADWAY ST STE 260
Practice Address - Street 2:
Practice Address - City:CARROLLTON
Practice Address - State:TX
Practice Address - Zip Code:75006-7277
Practice Address - Country:US
Practice Address - Phone:972-625-2631
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2011-12-14
Last Update Date:2011-12-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX201026261Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261Q00000XAmbulatory Health Care FacilitiesClinic/Center