| Lilly Wellness Clinic Llc | |
|
6330 Broadway Blvd Ste C Garland TX 75043-5956 | |
| (972) 544-0400 | |
| (972) 544-0401 |
| Full Name | Lilly Wellness Clinic Llc |
|---|---|
| Speciality | Internal Medicine |
| Location | 6330 Broadway Blvd Ste C, Garland, Texas |
| Authorized Official Name and Position | Harpreet Singh (MEMBER) |
| Authorized Official Contact | 9013890377 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Lilly Wellness Clinic Llc 6330 Broadway Blvd Ste C Garland TX 75043-5956 Ph: () - | Lilly Wellness Clinic Llc 6330 Broadway Blvd Ste C Garland TX 75043-5956 Ph: (972) 544-0400 |
| NPI Number | 1376313940 |
|---|---|
| Provider Enumeration Date | 01/04/2024 |
| Last Update Date | 01/16/2024 |
| Medicare PECOS PAC ID | 8628421260 |
|---|---|
| Medicare Enrollment ID | O20240130002425 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1376313940 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207R00000X | Internal Medicine | (* (Not Available)) | Primary |
| Provider Name | Muzakeer Shaik |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1114969300 PECOS PAC ID: 6305842550 Enrollment ID: I20081201000367 |
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