| Grapevine Total Wellness Pllc | |
|
1000 W St Hwy 114 Grapevine TX 76051-3987 | |
| (800) 246-5698 | |
| Not Available |
| Full Name | Grapevine Total Wellness Pllc |
|---|---|
| Speciality | Family Medicine - Adult Medicine |
| Location | 1000 W St Hwy 114, Grapevine, Texas |
| Authorized Official Name and Position | Salvatore Campo (PHYSICIAN/PRESIDENT) |
| Authorized Official Contact | 8002465698 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Grapevine Total Wellness Pllc 5000 Eldorado Pkwy Ste 150-153 Frisco TX 75033-8695 Ph: (800) 246-5698 | Grapevine Total Wellness Pllc 1000 W St Hwy 114 Grapevine TX 76051-3987 Ph: (800) 246-5698 |
| NPI Number | 1215594577 |
|---|---|
| Provider Enumeration Date | 05/22/2019 |
| Last Update Date | 06/11/2019 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1215594577 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207QA0505X | Family Medicine - Adult Medicine | (* (Not Available)) | Primary |
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