Is this information incorrect? This page shows public data from NPPES. Update your record in NPPES and this page will update automatically within 7 days.
Organization
PEARLAND TOTAL WELLNESS CLINIC, PLLC
Active
Organization
PEARLAND TOTAL WELLNESS CLINIC, PLLC
Active
Parent organization
MODERN MALE T-CLINIC, P.A.
Organization subpart
Yes
Provider details
NPI number
Legal business name
MODERN MALE T-CLINIC, P.A.
Authorized official
SALVATORE CAMPO DO (DO/PHYSICIAN)
(800) 246-5698
Entity
Organization
Contact information
Practice address
15718 S. HIGHWAY 288, SUITE 110, PEARLAND, TX 77584
(800) 246-5698
Mailing address
5000 ELDORADO PKWY STE 150-153, FRISCO, TX 75033-8695
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
—
NULL
207Q00000X
Family Medicine Physician
—
—
207QA0505X
Adult Medicine Physician
Primary
—
NULL
207QA0505X
Adult Medicine Physician
Primary
—
—
Other
Enumeration date
03/29/2018
Last updated
03/29/2018
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Sign upProduct
Developers