ADVANCED WELLNESS GROUP INC NPI 1003099235

NPI Information

NPI: 1003099235
Provider Name: ADVANCED WELLNESS GROUP INC
Classification: Medical Genetics, Ph.D. Medical Genetics - 170100000X
Entity Type: Organization
Address:
2705 E QUINLAN PKWY
QUINLAN, TX
ZIP 75474
Phone: (903) 447-5470
Get Directions

ADVANCED WELLNESS GROUP INC is a medical genetics phd medical genetics in Quinlan, TX. The provider is a medical geneticist works in association with a medical specialist, is affiliated with a clinical genetics program, and serves as a consultant to medical and dental specialists. ADVANCED WELLNESS GROUP INC NPI is 1003099235. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

2705 E QUINLAN PKWY
QUINLAN, TX
ZIP 75474-688
Phone: (903) 447-5470

The provider's authorized official is Kenneth Ronald Dority .
The authorized official title is Supervising Physician and has the following contact phone number (903) 447-5470.

The enumeration date for this NPI number is 12/11/2007 and was last updated on 10/17/2012.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	170100000X	Medical Genetics, Ph.D. Medical Genetics		K0722	TEXAS	Yes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 5/5/2024

NPI Synchronization or Removal

All materials and services on this site are provided on an "as is" and "as available" basis without warranty of any kind. The NPI record is maintained by the National Plan & Provider Enumeration System (NPPES) and anyone may request this information and other NPPES health care provider data from HHS under The Freedom of Information Act (FOIA), Title 5 of the United States Code, section 552. To update the NPI records please contact the NPPES.

« Previous NPI

Next NPI »