Organization
CLINIC FOR FAMILY WELLNESS PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. CAROLE D WARD FNP-C (OWNER)
(806) 259-1058
Entity
Organization
Contact information
Practice address
1645 N 18TH ST, MEMPHIS, TX 79245-2059
(806) 259-1058
(806) 259-1060
Mailing address
1645 N 18TH ST, MEMPHIS, TX 79245-2059
(806) 259-1058
(806) 259-1060
Taxonomy
Speciality
Code
Description
License number
State
261Q00000X
Clinic/Center
Primary
231272
TX
Other
Enumeration date
10/31/2008
Last updated
10/10/2011
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