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Organization
GRAND PRAIRIE WELLNESS CTR
Active
Organization
GRAND PRAIRIE WELLNESS CTR
Active
Organization subpart
No
Provider details
NPI number
Authorized official
CHUCK POFFENBARGER (PRESIDENT)
(972) 266-9123
Entity
Organization
Contact information
Practice address
1710 SMALL ST, GRAND PRAIRIE, TX 75050-6041
(972) 266-9123
(972) 266-7383
Mailing address
1710 SMALL ST, GRAND PRAIRIE, TX 75050-6041
(972) 266-9123
(972) 266-7383
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
—
—
Other
Enumeration date
08/14/2006
Last updated
08/22/2020
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