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Organization
WIMBERLEY WELLNESS PLLC
Active
Organization
WIMBERLEY WELLNESS PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ERIN DE HOYOS CPCS (DIRECTOR OF CREDENTIALING)
(806) 848-4570
Entity
Organization
Contact information
Practice address
14100 RANCH ROAD 12, UNIT 900, WIMBERLEY, TX 78676-5354
(512) 842-3316
Mailing address
PO BOX 94534, LUBBOCK, TX 79493-4534
(806) 848-4570
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
—
—
Other
Enumeration date
05/04/2017
Last updated
05/04/2017
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