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Organization
MODEL WELLNESS, PLLC
Active
Organization
MODEL WELLNESS, PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
GRACIE HERNANDEZ (CREDENTIALING MANAGER)
(817) 687-9517
Entity
Organization
Contact information
Practice address
14350 PROTON RD, FARMERS BRANCH, TX 75244-3511
(214) 643-6888
(855) 479-2044
Mailing address
14350 PROTON RD, FARMERS BRANCH, TX 75244-3511
(214) 643-6888
(855) 479-2044
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
—
—
Other
Enumeration date
01/23/2021
Last updated
06/10/2026
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