Organization
BE WELL PRIMARY CARE MEDICINE PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. RADHIKA VAYANI DO (CEO/PHYSICIAN)
(682) 593-6660
Entity
Organization
Contact information
Practice address
3800 NORTH TARRANT PARKWAY, SUITE 210, FORT WORTH, TX 76244
(682) 593-6660
(888) 289-2380
Mailing address
3800 N TARRANT PKWY STE 210, FORT WORTH, TX 76244-5416
(682) 593-6660
Taxonomy
Speciality
Code
Description
License number
State
261QP2300X
Primary Care Clinic/Center
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1396068870
MEDICARE
—
01
—
1497019863
MEDICARE
—
01
—
1528559325
MEDICARE
—
Enumeration date
08/01/2017
Last updated
02/03/2023
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