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Organization
THE WELLNESS CENTER HEALTH AND THERAPY LLC
Active
Organization
THE WELLNESS CENTER HEALTH AND THERAPY LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
UNI ESPINOZA (CREDENTIALING CLERK)
(512) 358-6009
Entity
Organization
Contact information
Practice address
5521 BELLAIRE DR S STE 114B, FT WORTH, TX 76109-5855
(817) 926-9642
Mailing address
5521 BELLAIRE DR S STE 114B, FT WORTH, TX 76109-5855
(817) 926-9642
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
G1140
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
G1140
MEDICAL LICENSE
TX
Enumeration date
06/15/2017
Last updated
07/21/2022
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