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CLINIC AND WELLNESS CENTERS PLLC NPI 1700284056


NPI Information

NPI: 1700284056
Provider Name: CLINIC AND WELLNESS CENTERS, PLLC
Classification: Clinic/Center - 261Q00000X
Entity Type: Organization
Address:
2771 E BROAD ST STE 217-109
MANSFIELD, TX
ZIP 76063
Phone: (817) 209-7736
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CLINIC AND WELLNESS CENTERS, PLLC is a clinic center in Mansfield, TX. The provider is a facility or distinct part of one used for the diagnosis and treatment of outpatients. Clinic/Center is irregularly defined, sometimes being limited to organizations serving specialized treatment requirements or distinct patient/client groups (e.g., radiology, poor, and public health). CLINIC AND WELLNESS CENTERS, PLLC NPI is 1700284056. The provider is registered as an organization entity type.

The provider's business location address is:

2771 E BROAD ST STE 217-109
MANSFIELD, TX
ZIP 76063-156
Phone: (817) 209-7736

The provider's authorized official is Lashonda Traylor .
The authorized official title is Family Nurse Practitioner and has the following contact phone number (817) 209-7736.

The enumeration date for this NPI number is 12/18/2014 and was last updated on 12/18/2014.


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
1261Q00000XClinic/CenterF0814245TEXASYes

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

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