Organization
EXECUTIVE HEALTH AND WELLNESS OF TEXAS
Active
Organization
EXECUTIVE HEALTH AND WELLNESS OF TEXAS
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. ALOK P KUSHWAHA MD (DIRECTOR)
(972) 852-9140
Entity
Organization
Contact information
Practice address
1643 LANCASTER DR STE 201, GRAPEVINE, TX 76051-3593
(817) 328-0349
(972) 852-9094
Mailing address
1643 LANCASTER DR STE 201, GRAPEVINE, TX 76051-3593
(817) 328-0349
(972) 852-9094
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
K1232
TX
Other
Enumeration date
07/31/2015
Last updated
07/29/2020
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