Medical Wellness Center Llc | |
9801 Anderson Mill Rd #105 Austin TX 78750-2274 | |
(512) 999-7010 | |
Not Available |
Full Name | Medical Wellness Center Llc |
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Speciality | Clinic/Center |
Location | 9801 Anderson Mill Rd, Austin, Texas |
Authorized Official Name and Position | Chen Ha (M.D.) |
Authorized Official Contact | 5129997010 |
Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
Mailing Address | Practice Location Address |
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Medical Wellness Center Llc 9801 Anderson Mill Rd #105 Austin TX 78750-2274 Ph: (512) 999-7010 | Medical Wellness Center Llc 9801 Anderson Mill Rd #105 Austin TX 78750-2274 Ph: (512) 999-7010 |
NPI Number | 1841508496 |
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Provider Enumeration Date | 09/16/2010 |
Last Update Date | 04/16/2014 |
Medicare PECOS PAC ID | 1254512569 |
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Medicare Enrollment ID | O20140423001973 |
Identifier | Type | State | Issuer |
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1841508496 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
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261QP2300X | Clinic/center - Primary Care | 25MA08691900 (New Jersey) | Secondary |
261QP2300X | Clinic/center - Primary Care | M0099 (Texas) | Primary |
Provider Name | Chen Xiang Ha |
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Provider Type | Practitioner - Family Practice |
Provider Identifiers | NPI Number: 1538171277 PECOS PAC ID: 2163464470 Enrollment ID: I20050526000614 |
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