| Grand Prairie Wellness Ctr | |
|
1710 Small St Grand Prairie TX 75050-6041 | |
| (972) 266-9123 | |
| (972) 266-7383 |
| Full Name | Grand Prairie Wellness Ctr |
|---|---|
| Speciality | Family Medicine |
| Location | 1710 Small St, Grand Prairie, Texas |
| Authorized Official Name and Position | Chuck Poffenbarger (PRESIDENT) |
| Authorized Official Contact | 9722669123 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Grand Prairie Wellness Ctr 1710 Small St Grand Prairie TX 75050-6041 Ph: (972) 266-9123 | Grand Prairie Wellness Ctr 1710 Small St Grand Prairie TX 75050-6041 Ph: (972) 266-9123 |
| NPI Number | 1568475366 |
|---|---|
| Provider Enumeration Date | 08/14/2006 |
| Last Update Date | 08/22/2020 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1568475366 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | (* (Not Available)) | Primary |
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