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Organization
WELLNESS MED CLINICS LLC
Active
Organization
WELLNESS MED CLINICS LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. CANDICE AGUIRRE (COO)
(512) 301-1166
Entity
Organization
Contact information
Practice address
5510 S IH 35 STE 250A, AUSTIN, TX 78745-3344
(512) 301-1166
Mailing address
5510 S IH 35 STE 250A, AUSTIN, TX 78745-3344
(512) 301-1166
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
H3680
TX
363A00000X
Physician Assistant
PA03274
TX
Other
Enumeration date
01/03/2014
Last updated
01/03/2014
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