Organization
WELLNESS GROUP
Active
Organization subpart
No
Provider details
NPI number
Authorized official
RANDAL FLOYD (DIRECTOR)
(469) 737-1222
Entity
Organization
Contact information
Practice address
18110 MIDWAY RD, 146, DALLAS, TX 75287-6677
(469) 737-1222
Mailing address
18352 MIDWAY RD, 146, DALLAS, TX 75287-6632
(469) 737-1222
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
141477
TX
111NX0100X
Occupational Health Chiropractor
Primary
5094
TX
Other
Enumeration date
02/14/2008
Last updated
02/14/2008
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