Organization
CALLAHAN COUNTY HEALTH AND WELLNESS CLINIC PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DENISE D JONES (ADMINISTRATOR)
(325) 695-4133
Entity
Organization
Contact information
Practice address
102 ARCHER ST, CLYDE, TX 79510-4225
(325) 893-1010
Mailing address
4400 BUFFALO GAP RD STE 2400C, ABILENE, TX 79606-2723
(132) 569-5413
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
AP113595
APN LICENSE
TX
Enumeration date
05/20/2022
Last updated
05/20/2022
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