Organization
WELLNESS INNOVATIONS PHYSICIAN PARTNERS
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JERRY LEE (VP OF TREASURY AND ACCOUNTING)
(214) 456-0588
Entity
Organization
Contact information
Practice address
1935 MEDICAL DISTRICT DR, DALLAS, TX 75235-7701
(214) 456-0588
Mailing address
1935 MEDICAL DISTRICT DR, DALLAS, TX 75235-7701
(214) 456-0588
Taxonomy
Speciality
Code
Description
License number
State
207PP0204X
Pediatric Emergency Medicine (Emergency Medicine) Physician
Primary
—
—
Other
Enumeration date
05/02/2016
Last updated
05/02/2016
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