| Restore Wellness Primary Care, Pllc | |
|
4601 Buffalo Gap Rd Ste C1 Abilene TX 79606-3363 | |
| (325) 829-1185 | |
| Not Available |
| Full Name | Restore Wellness Primary Care, Pllc |
|---|---|
| Speciality | Family Medicine |
| Location | 4601 Buffalo Gap Rd Ste C1, Abilene, Texas |
| Authorized Official Name and Position | Patricia Munoz Trueblood (NURSE PRACTITIONER) |
| Authorized Official Contact | 3258291185 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Restore Wellness Primary Care, Pllc 4601 Buffalo Gap Rd Ste C1 Abilene TX 79606-3363 Ph: (325) 829-1185 | Restore Wellness Primary Care, Pllc 4601 Buffalo Gap Rd Ste C1 Abilene TX 79606-3363 Ph: (325) 829-1185 |
| NPI Number | 1760953574 |
|---|---|
| Provider Enumeration Date | 12/06/2018 |
| Last Update Date | 12/06/2018 |
| Medicare PECOS PAC ID | 9436492030 |
|---|---|
| Medicare Enrollment ID | O20190523000307 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1760953574 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | (* (Not Available)) | Primary |
| Provider Name | Patricia Ann Trueblood |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1962689695 PECOS PAC ID: 0547334203 Enrollment ID: I20080730000309 |
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