| Whole Health Kinetix | |
|
14800 Quorum Dr Dallas TX 75254-7073 | |
| (469) 547-1700 | |
| (469) 420-5362 |
| Full Name | Whole Health Kinetix |
|---|---|
| Speciality | Family Medicine |
| Location | 14800 Quorum Dr, Dallas, Texas |
| Authorized Official Name and Position | David A Slater (OWNER) |
| Authorized Official Contact | 2147072890 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Whole Health Kinetix 14800 Quorum Dr Ste 560 Dallas TX 75254-7679 Ph: (469) 547-1700 | Whole Health Kinetix 14800 Quorum Dr Dallas TX 75254-7073 Ph: (469) 547-1700 |
| NPI Number | 1710465489 |
|---|---|
| Provider Enumeration Date | 08/03/2018 |
| Last Update Date | 08/03/2018 |
| Medicare PECOS PAC ID | 4688915945 |
|---|---|
| Medicare Enrollment ID | O20190415001258 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1710465489 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207QA0505X | Family Medicine - Adult Medicine | (* (Not Available)) | Primary |
| Provider Name | David A Slater |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1477526994 PECOS PAC ID: 2567462161 Enrollment ID: I20070104000441 |
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