Organization
EVERGREEN TESTOSTERONE CLINIC & PRIMARY CARE
Active
Organization subpart
No
Provider details
NPI number
Authorized official
KEN WAMWIRI FNP (PRESIDENT AND CEO)
(214) 870-0885
Entity
Organization
Contact information
Practice address
623 MATLOCK CENTRE CIR, ARLINGTON, TX 76015-2535
(214) 870-0885
Mailing address
619 MATLOCK CENTRE CIR, ARLINGTON, TX 76015-2535
(214) 870-0885
Taxonomy
Speciality
Code
Description
License number
State
261QP2300X
Primary Care Clinic/Center
Primary
—
—
Other
Enumeration date
10/02/2017
Last updated
07/14/2025
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