Get Wellness, Pllc | |
2201 Heritage Pkwy Mansfield TX 76063-5628 | |
(817) 472-7700 | |
(817) 472-7701 |
Full Name | Get Wellness, Pllc |
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Speciality | Family Medicine |
Location | 2201 Heritage Pkwy, Mansfield, Texas |
Authorized Official Name and Position | Hasan Masri (OFFICE MANAGER) |
Authorized Official Contact | 8174727700 |
Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
Mailing Address | Practice Location Address |
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Get Wellness, Pllc 2201 Heritage Pkwy Mansfield TX 76063-5628 Ph: (817) 472-7700 | Get Wellness, Pllc 2201 Heritage Pkwy Mansfield TX 76063-5628 Ph: (817) 472-7700 |
NPI Number | 1972214641 |
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Provider Enumeration Date | 12/13/2022 |
Last Update Date | 12/13/2022 |
Medicare PECOS PAC ID | 9133565211 |
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Medicare Enrollment ID | O20240312000674 |
Identifier | Type | State | Issuer |
---|---|---|---|
1972214641 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207Q00000X | Family Medicine | (* (Not Available)) | Primary |
Provider Name | Paul C Harris |
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Provider Type | Practitioner - Neurology |
Provider Identifiers | NPI Number: 1982614251 PECOS PAC ID: 7012999097 Enrollment ID: I20040603000470 |
Provider Name | Lysianne Pham Dube |
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Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1699263269 PECOS PAC ID: 8729316401 Enrollment ID: I20220519001359 |
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