Restore Wellness Llc | |
158 Aztec Ln Ste 104, Van Alstyne, TX 75495-3451 | |
(903) 227-1527 | |
Not Available |
Full Name | Restore Wellness Llc |
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Type | Facility |
Speciality | Clinic/center - Multi-specialty |
Location | 158 Aztec Ln Ste 104, Van Alstyne, Texas |
Accepts Medicare Assignments | Medicare enrolled and accepts medicare insurance. Providers at this facility may prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
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1770228298 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
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225100000X | Physical Therapist | (* (Not Available)) | Secondary |
261QM1300X | Clinic/center - Multi-specialty | (* (Not Available)) | Primary |
Provider Name | Shannon Taylor Boyd |
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Provider Type | Practitioner - Physical Therapist In Private Practice |
Provider Identifiers | NPI Number: 1346543659 PECOS PAC ID: 6204012511 Enrollment ID: I20110523000465 |
Provider Name | Lindsay Roberts Williams |
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Provider Type | Practitioner - Physical Therapist In Private Practice |
Provider Identifiers | NPI Number: 1700195880 PECOS PAC ID: 4385839760 Enrollment ID: I20221102001672 |
Provider Name | Atif Syed Ahmed |
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Provider Type | Practitioner - Physical Therapist In Private Practice |
Provider Identifiers | NPI Number: 1922348424 PECOS PAC ID: 5092186981 Enrollment ID: I20230201002342 |
Provider Name | Duong Nguyen |
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Provider Type | Practitioner - Physical Therapist In Private Practice |
Provider Identifiers | NPI Number: 1104301050 PECOS PAC ID: 6103299169 Enrollment ID: I20230222002782 |
Provider Name | Annie M York |
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Provider Type | Practitioner - Qualified Speech Language Pathologist |
Provider Identifiers | NPI Number: 1477217602 PECOS PAC ID: 1850733148 Enrollment ID: I20240531003478 |
Mailing Address | Practice Location Address |
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Restore Wellness Llc Po Box 191088, Dallas, TX 75219-8088 Ph: (469) 256-6661 | Restore Wellness Llc 158 Aztec Ln Ste 104, Van Alstyne, TX 75495-3451 Ph: (903) 227-1527 |