# ELDORADO TOTAL WELLNESS CLINIC PLLC

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1285211771
- **Authorized official:** DAN RICHARDSON (DIRECTOR OF BILLING)
- **Authorized official phone:** (469) 598-1200

## Contact information

- **Practice address:** 5000 ELDORADO PKWY STE 420, FRISCO, TX 75033-8612
- **Practice address phone:** (469) 598-1200
- **Practice address fax:** (972) 637-9272
- **Mailing address:** 5000 ELDORADO, BOX 150-153, FRISCO, TX 75033
- **Mailing address phone:** (469) 598-1200
- **Mailing address fax:** (972) 637-9272

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207Q00000X | Family Medicine Physician | — | NULL | Yes |
| 207Q00000X | Family Medicine Physician | — | — | Yes |

## Other

- **Enumeration date:** 03/29/2021
- **Last updated:** 04/01/2021