| Wellworx Health Hormone And Wellness Clinic | |
|
5899 Preston Rd Ste 803 Frisco TX 75034-7425 | |
| (972) 645-1677 | |
| Not Available |
| Full Name | Wellworx Health Hormone And Wellness Clinic |
|---|---|
| Speciality | Clinic/Center |
| Location | 5899 Preston Rd Ste 803, Frisco, Texas |
| Authorized Official Name and Position | Ryan Pham (MANAGING MEMBER) |
| Authorized Official Contact | 9726451677 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Wellworx Health Hormone And Wellness Clinic 5899 Preston Rd Ste 803 Frisco TX 75034-7425 Ph: (972) 645-1677 | Wellworx Health Hormone And Wellness Clinic 5899 Preston Rd Ste 803 Frisco TX 75034-7425 Ph: (972) 645-1677 |
| NPI Number | 1245744580 |
|---|---|
| Provider Enumeration Date | 11/22/2017 |
| Last Update Date | 05/20/2022 |
| Medicare PECOS PAC ID | 6002152188 |
|---|---|
| Medicare Enrollment ID | O20190110000767 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1245744580 | NPI | - | NPPES |
| Provider Name | Ryan K Pham |
|---|---|
| Provider Type | Practitioner - Dermatology |
| Provider Identifiers | NPI Number: 1407173230 PECOS PAC ID: 6406075001 Enrollment ID: I20140912002031 |
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