Organization
ADVANCED WELLNESS GROUP INC
Active
Organization
ADVANCED WELLNESS GROUP INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. KENNETH RONALD DORITY D.O. (SUPERVISING PHYSICIAN)
(903) 447-5470
Entity
Organization
Contact information
Practice address
2705 E QUINLAN PKWY, QUINLAN, TX 75474-8688
(903) 447-5470
Mailing address
PO BOX 789, QUINLAN, TX 75474-0014
(903) 447-5470
Taxonomy
Speciality
Code
Description
License number
State
170100000X
Ph.D. Medical Genetics
Primary
K0722
TX
Other
Enumeration date
12/11/2007
Last updated
10/17/2012
Update your record
If you believe information in your NPPES record is inaccurate, or if you wish to update or deactivate your NPI, you can do so directly with CMS at https://nppes.cms.hhs.gov.
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Sign up