Organization
WELLNESS MATTERS PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
CULLEN F TENNISON PT (OWNER)
(512) 275-0282
Entity
Organization
Contact information
Practice address
11009 MAELIN DR, AUSTIN, TX 78739-2051
(512) 275-0282
(972) 459-3418
Mailing address
11009 MAELIN DR, AUSTIN, TX 78739-2051
(512) 275-0282
(972) 459-3418
Taxonomy
Speciality
Code
Description
License number
State
261QP2000X
Physical Therapy Clinic/Center
Primary
1130250
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0038HC
BCBS GROUP
TX
Enumeration date
09/04/2007
Last updated
09/07/2012
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