Organization
SHARE WELLNESS MEDICAL CLINIC PLLC
Active
Other names
Share Wellness Urgent Medical Clinic
Organization subpart
No
Provider details
NPI number
Authorized official
NICOLE MICHELLE ELLISON M. D. (PRESIDENT)
(501) 837-3680
Entity
Organization
Contact information
Practice address
415 E PLEASANT RUN RD, SUITE 125, CEDAR HILL, TX 75104-1875
(972) 293-9660
(972) 293-9669
Mailing address
415 E PLEASANT RUN RD, SUITE 125, CEDAR HILL, TX 75104-1875
(972) 293-9660
(972) 293-9669
Taxonomy
Speciality
Code
Description
License number
State
261QU0200X
Urgent Care Clinic/Center
Primary
N2485
TX
Other
Enumeration date
10/12/2012
Last updated
03/10/2014
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