| Premier Wellness Clinics Pllc | |
|
2601 Little Elm Pkwy Ste 1204 Little Elm TX 75068-1921 | |
| (972) 292-0300 | |
| (973) 292-0301 |
| Full Name | Premier Wellness Clinics Pllc |
|---|---|
| Speciality | Clinic/Center |
| Location | 2601 Little Elm Pkwy Ste 1204, Little Elm, Texas |
| Authorized Official Name and Position | Khalida Yasmin (MEDICAL DIRECTOR) |
| Authorized Official Contact | 9736933677 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Premier Wellness Clinics Pllc 2601 Little Elm Pkwy Ste 1204 Little Elm TX 75068-1921 Ph: (972) 292-0300 | Premier Wellness Clinics Pllc 2601 Little Elm Pkwy Ste 1204 Little Elm TX 75068-1921 Ph: (972) 292-0300 |
| NPI Number | 1891349262 |
|---|---|
| Provider Enumeration Date | 07/24/2019 |
| Last Update Date | 07/17/2023 |
| Medicare PECOS PAC ID | 1355672452 |
|---|---|
| Medicare Enrollment ID | O20191003001441 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1891349262 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QM1300X | Clinic/center - Multi-specialty | (* (Not Available)) | Primary |
| Provider Name | Khalida Yasmin |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1306842216 PECOS PAC ID: 2062487127 Enrollment ID: I20070227000564 |
| Provider Name | Aditi Rane |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1013491463 PECOS PAC ID: 9931435823 Enrollment ID: I20190730004402 |
| Provider Name | Minakshi Rajpoot |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1851715007 PECOS PAC ID: 8224258207 Enrollment ID: I20230419000005 |
| Provider Name | Iliza Shrestha |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1013603067 PECOS PAC ID: 9133582422 Enrollment ID: I20230905001570 |
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