| Modern Health & Wellness Llc | |
|
1010 N Belt Line Rd Ste 104 Mesquite TX 75149-1770 | |
| (469) 659-9494 | |
| Not Available |
| Full Name | Modern Health & Wellness Llc |
|---|---|
| Speciality | Clinic/center - Multi-specialty |
| Location | 1010 N Belt Line Rd Ste 104, Mesquite, Texas |
| Authorized Official Name and Position | Ketrina E Lewis (NURSE PRACTITIONER) |
| Authorized Official Contact | 4696599494 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Modern Health & Wellness Llc 3229 Wiltshire Horn Ave Ste 104 Mckinney TX 75071-2844 Ph: (702) 812-9803 | Modern Health & Wellness Llc 1010 N Belt Line Rd Ste 104 Mesquite TX 75149-1770 Ph: (469) 659-9494 |
| NPI Number | 1902415078 |
|---|---|
| Provider Enumeration Date | 07/24/2020 |
| Last Update Date | 07/24/2020 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1902415078 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QM1300X | Clinic/center - Multi-specialty | (* (Not Available)) | Primary |
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