Organization
DIABETES WELLNESS CLINIC PLLC
Active
Other names
Diabetes Wellness Clinic
Organization subpart
No
Provider details
NPI number
Authorized official
DR. TIMOTHY DILON DANIEL MD (PHYSICIAN/PRESIDENT)
(832) 524-4043
Entity
Organization
Contact information
Practice address
10970 SHADOW CREEK PKWY STE 260, PEARLAND, TX 77584-0121
(832) 524-4043
(832) 524-4043
Mailing address
11404 MISTY MORNING ST, PEARLAND, TX 77584-8374
(832) 524-4043
Taxonomy
Speciality
Code
Description
License number
State
261QM2500X
Medical Specialty Clinic/Center
Primary
L6339
TX
Other
Enumeration date
09/23/2017
Last updated
09/23/2017
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