Organization
PPW
Active
Other names
Pathology Wellness
Organization subpart
No
Provider details
NPI number
Authorized official
JENNIFER C SHOTWELL LPC (PRESIDENT)
(713) 557-8430
Entity
Organization
Contact information
Practice address
13140 COIT RD, UNIT #518, DALLAS, TX 75240
(469) 783-6119
Mailing address
8604 TURTLE CREEK BLVD UNIT 12763, DALLAS, TX 75225-4755
Taxonomy
Speciality
Code
Description
License number
State
246Z00000X
Other Specialist/Technologist
Primary
—
—
Other
Enumeration date
10/31/2022
Last updated
10/31/2022
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