| Physicians Wellness Associates Pllc | |
|
1920 East State Highway 114 Southlake TX 76092 | |
| (817) 442-5698 | |
| (817) 442-5633 |
| Full Name | Physicians Wellness Associates Pllc |
|---|---|
| Speciality | Family Medicine |
| Location | 1920 East State Highway 114, Southlake, Texas |
| Authorized Official Name and Position | William G Reilly (AUTHORIZED OFFICIAL) |
| Authorized Official Contact | 8174103800 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Physicians Wellness Associates Pllc 1920 East State Highway 114 Southlake TX 76092 Ph: (817) 410-3800 | Physicians Wellness Associates Pllc 1920 East State Highway 114 Southlake TX 76092 Ph: (817) 442-5698 |
| NPI Number | 1225506223 |
|---|---|
| Provider Enumeration Date | 11/07/2018 |
| Last Update Date | 11/07/2018 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1225506223 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | (* (Not Available)) | Primary |
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