ADVANCED CENTER FOR WELLNESS LLC NPI 1952789513

NPI Information

NPI: 1952789513
Provider Name: ADVANCED CENTER FOR WELLNESS, LLC
Classification: Physician Assistant - 363AM0700X
Entity Type: Organization

Specialization: Medical

CLIA Number: 45D2004448

Address:
6801 MCPHERSON RD STE 213
LAREDO, TX
ZIP 78041
Phone: (956) 727-2629
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ADVANCED CENTER FOR WELLNESS, LLC is a medical physician assistant in Laredo, TX. ADVANCED CENTER FOR WELLNESS, LLC NPI is 1952789513. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

6801 MCPHERSON RD STE 213
LAREDO, TX
ZIP 78041-443
Phone: (956) 727-2629

The provider's authorized official is Jose Angel Gonzalez .
The authorized official title is Owner and has the following contact phone number (956) 727-2629.

The CLIA number assigned to this NPI record is 45D2004448 - physician office with a certificate type of Certificate of Accreditation.

The enumeration date for this NPI number is 5/14/2015 and was last updated on 5/14/2015.

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	363AM0700X	Physician Assistant	Medical	207Q00000X	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

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