Total Health & Wellness Medical, Pllc | |
7165 Colleyville Blvd Ste 102 Colleyville TX 76034-8010 | |
(972) 983-8915 | |
(817) 761-5365 |
Full Name | Total Health & Wellness Medical, Pllc |
---|---|
Speciality | Family Medicine |
Location | 7165 Colleyville Blvd Ste 102, Colleyville, Texas |
Authorized Official Name and Position | Joseph B Ventimiglia (PHYSICIAN / OWNER) |
Authorized Official Contact | 9729838915 |
Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
Mailing Address | Practice Location Address |
---|---|
Total Health & Wellness Medical, Pllc 1611 Pheasant Ln Southlake TX 76092-3436 Ph: (972) 983-8915 | Total Health & Wellness Medical, Pllc 7165 Colleyville Blvd Ste 102 Colleyville TX 76034-8010 Ph: (972) 983-8915 |
NPI Number | 1750041380 |
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Provider Enumeration Date | 12/22/2021 |
Last Update Date | 01/07/2024 |
Medicare PECOS PAC ID | 4688026875 |
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Medicare Enrollment ID | O20240124000490 |
Identifier | Type | State | Issuer |
---|---|---|---|
1750041380 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207Q00000X | Family Medicine | (* (Not Available)) | Primary |
Provider Name | Joe B Ventimiglia |
---|---|
Provider Type | Practitioner - Family Practice |
Provider Identifiers | NPI Number: 1083647945 PECOS PAC ID: 3274436563 Enrollment ID: I20040202001024 |
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