# DIABETES WELLNESS CLINIC PLLC

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- **Entity:** Organization
- **Status:** Active
- **Other names:** Diabetes Wellness Clinic
- **Organization subpart:** No

## Provider details

- **NPI number:** 1003325960
- **Authorized official:** DR. TIMOTHY DILON DANIEL MD (PHYSICIAN/PRESIDENT)
- **Authorized official phone:** (832) 524-4043

## Contact information

- **Practice address:** 10970 SHADOW CREEK PKWY STE 260, PEARLAND, TX 77584-0121
- **Practice address phone:** (832) 524-4043
- **Practice address fax:** (832) 524-4043
- **Mailing address:** 11404 MISTY MORNING ST, PEARLAND, TX 77584-8374
- **Mailing address phone:** (832) 524-4043

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 261QM2500X | Medical Specialty Clinic/Center | L6339 | TX | Yes |

## Other

- **Enumeration date:** 09/23/2017
- **Last updated:** 09/23/2017