Organization
INVIGORATE MEN'S HEALTH & WELLNESS, PLLC
Active
Other names
INVIGORATE: Low-T - Health - Wellness
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. ANTOINETTE RENE NUNNELEY APN (NP/OWNER)
(940) 386-9334
Entity
Organization
Contact information
Practice address
4001 CEDAR ELM LN, SUITE B, WICHITA FALLS, TX 76308-3031
(940) 386-9334
(940) 386-9733
Mailing address
4001 CEDAR ELM LN, SUITE B, WICHITA FALLS, TX 76308-3031
(940) 386-9334
(940) 386-9733
Taxonomy
Speciality
Code
Description
License number
State
261QP2300X
Primary Care Clinic/Center
Primary
AP110354
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
144490302
—
TX
05
—
144490304
—
TX
Enumeration date
06/22/2015
Last updated
06/22/2015
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