| Clinic And Wellness Centers, Pllc | |
|
2771 E Broad St Ste 217-109 Mansfield TX 76063-9156 | |
| (817) 209-7736 | |
| Not Available |
| Full Name | Clinic And Wellness Centers, Pllc |
|---|---|
| Speciality | Clinic/center |
| Location | 2771 E Broad St Ste 217-109, Mansfield, Texas |
| Authorized Official Name and Position | Lashonda Traylor (FAMILY NURSE PRACTITIONER) |
| Authorized Official Contact | 8172097736 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Clinic And Wellness Centers, Pllc 2771 E Broad St Ste 217-109 Mansfield TX 76063-9156 Ph: (817) 209-7736 | Clinic And Wellness Centers, Pllc 2771 E Broad St Ste 217-109 Mansfield TX 76063-9156 Ph: (817) 209-7736 |
| NPI Number | 1700284056 |
|---|---|
| Provider Enumeration Date | 12/18/2014 |
| Last Update Date | 12/18/2014 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1700284056 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261Q00000X | Clinic/center | F0814245 (Texas) | Primary |
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