| Welllife | |
|
203 N College Ave Ste 2001 Cleveland TX 77327-4966 | |
| (832) 318-9800 | |
| Not Available |
| Full Name | Welllife |
|---|---|
| Speciality | Clinic/Center |
| Location | 203 N College Ave Ste 2001, Cleveland, Texas |
| Authorized Official Name and Position | Dona Nicole Coleman (FNP-C) |
| Authorized Official Contact | 2817615471 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Welllife 30022 Walton Heath Dr Cleveland TX 77327-2752 Ph: (281) 761-5471 | Welllife 203 N College Ave Ste 2001 Cleveland TX 77327-4966 Ph: (832) 318-9800 |
| NPI Number | 1124784673 |
|---|---|
| Provider Enumeration Date | 11/09/2021 |
| Last Update Date | 06/08/2022 |
| Medicare PECOS PAC ID | 7618367954 |
|---|---|
| Medicare Enrollment ID | O20220208000877 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1124784673 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QR1300X | Clinic/center - Rural Health | (* (Not Available)) | Primary |
| Provider Name | Dona Nicole Coleman |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1265026058 PECOS PAC ID: 2860899051 Enrollment ID: I20211001000026 |
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