| 903 Health And Wellness Llc | |
|
403 State Highway 110 N Whitehouse TX 75791-3109 | |
| (903) 991-8557 | |
| (903) 352-3297 |
| Full Name | 903 Health And Wellness Llc |
|---|---|
| Speciality | Family Medicine |
| Location | 403 State Highway 110 N, Whitehouse, Texas |
| Authorized Official Name and Position | Mark R Layne (OWNER) |
| Authorized Official Contact | 9039918557 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| 903 Health And Wellness Llc Po Box 1192 Whitehouse TX 75791-1192 Ph: (903) 991-8557 | 903 Health And Wellness Llc 403 State Highway 110 N Whitehouse TX 75791-3109 Ph: (903) 991-8557 |
| NPI Number | 1033934575 |
|---|---|
| Provider Enumeration Date | 11/19/2024 |
| Last Update Date | 12/18/2024 |
| Medicare PECOS PAC ID | 1254868706 |
|---|---|
| Medicare Enrollment ID | O20241220003077 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1033934575 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | (* (Not Available)) | Primary |
| Provider Name | Billie K Huff |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1174512156 PECOS PAC ID: 5496783540 Enrollment ID: I20050729000633 |
| Provider Name | Rachael L. Phillips |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1346056645 PECOS PAC ID: 3577072263 Enrollment ID: I20250604000392 |