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1645 N 18th St Memphis TX 79245-2059 | |
| (806) 259-1058 | |
| (806) 259-1060 |
| Full Name | |
|---|---|
| Speciality | Clinic/center - Primary Care |
| Location | 1645 N 18th St, Memphis, Texas |
| Authorized Official Name and Position | Carole Ward (NURSE PRACTITIONER OWNER) |
| Authorized Official Contact | 8062591058 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
1645 N 18th St Memphis TX 79245-2059 Ph: (806) 259-1058 | 1645 N 18th St Memphis TX 79245-2059 Ph: (806) 259-1058 |
| NPI Number | 1255360319 |
|---|---|
| Provider Enumeration Date | 07/01/2006 |
| Last Update Date | 07/26/2007 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1255360319 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QP2300X | Clinic/center - Primary Care | 231272 (Texas) | Primary |
Clinic For Family Wellness Pllc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 1645 N 18th St, Memphis, TX 79245 Phone: 806-259-1058 Fax: 806-259-1060 | |