Provider Demographics
NPI:1659734994
Name:VB CREATIONS, LLC
Entity Type:Organization
Organization Name:VB CREATIONS, LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OPERATIONS MANAGER
Authorized Official - Prefix:
Authorized Official - First Name:MAISHA
Authorized Official - Middle Name:
Authorized Official - Last Name:BROWN-MOORE
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:214-206-1447
Mailing Address - Street 1:18101 PRESTON RD
Mailing Address - Street 2:SUITE#201
Mailing Address - City:DALLAS
Mailing Address - State:TX
Mailing Address - Zip Code:75252-6602
Mailing Address - Country:US
Mailing Address - Phone:214-206-1447
Mailing Address - Fax:469-808-0695
Practice Address - Street 1:2225 W. SOUTHLAKE BLVD
Practice Address - Street 2:SUITE#441
Practice Address - City:SOUTHLAKE
Practice Address - State:TX
Practice Address - Zip Code:76092
Practice Address - Country:US
Practice Address - Phone:214-206-1447
Practice Address - Fax:469-808-0695
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2016-04-04
Last Update Date:2016-05-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes111N00000XChiropractic ProvidersChiropractorGroup - Multi-Specialty