Total Wellness Family Clinic, Llc | |
2384 S Dairy Ashford Rd Houston TX 77077-5739 | |
(832) 243-6104 | |
(832) 917-0926 |
Full Name | Total Wellness Family Clinic, Llc |
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Speciality | Clinic/Center |
Location | 2384 S Dairy Ashford Rd, Houston, Texas |
Authorized Official Name and Position | Francine Nosworthy (OWNER) |
Authorized Official Contact | 8322436104 |
Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
Mailing Address | Practice Location Address |
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Total Wellness Family Clinic, Llc 2384 S Dairy Ashford Rd Houston TX 77077-5739 Ph: (832) 243-6104 | Total Wellness Family Clinic, Llc 2384 S Dairy Ashford Rd Houston TX 77077-5739 Ph: (832) 243-6104 |
NPI Number | 1447724315 |
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Provider Enumeration Date | 01/14/2019 |
Last Update Date | 01/16/2019 |
Medicare PECOS PAC ID | 9830435619 |
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Medicare Enrollment ID | O20190116000222 |
Identifier | Type | State | Issuer |
---|---|---|---|
1447724315 | NPI | - | NPPES |
1083088090 | Other | TX | NPI |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
261QP2300X | Clinic/center - Primary Care | (* (Not Available)) | Primary |
Provider Name | Francine Nosworthy |
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Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1083088090 PECOS PAC ID: 5496028797 Enrollment ID: I20170908000598 |
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