Organization
SOUTHEAST TENNESSEE HEALTH CLINIC, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
WELTON WAYNE WILSON (MANAGER)
(281) 825-8526
Entity
Organization
Contact information
Practice address
11039 PARKSIDE DR, KNOXVILLE, TN 37934-1953
(281) 429-8526
Mailing address
16131 N ELDRIDGE PKWY STE 100, TOMBALL, TX 77377-9130
(832) 585-2747
Taxonomy
Speciality
Code
Description
License number
State
261QP2300X
Primary Care Clinic/Center
Primary
—
—
Other
Enumeration date
10/21/2022
Last updated
11/10/2022
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