| Allwell Clinic Pllc | |
|
1207 S White Chapel Blvd Ste 275 Southlake TX 76092-9345 | |
| (682) 416-9120 | |
| Not Available |
| Full Name | Allwell Clinic Pllc |
|---|---|
| Speciality | Internal Medicine |
| Location | 1207 S White Chapel Blvd Ste 275, Southlake, Texas |
| Authorized Official Name and Position | Unknown Priyanka (OWNER) |
| Authorized Official Contact | 7158970270 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Allwell Clinic Pllc 911 Independence Pkwy Southlake TX 76092-8463 Ph: (715) 897-0270 | Allwell Clinic Pllc 1207 S White Chapel Blvd Ste 275 Southlake TX 76092-9345 Ph: (682) 416-9120 |
| NPI Number | 1780446914 |
|---|---|
| Provider Enumeration Date | 01/24/2024 |
| Last Update Date | 05/09/2024 |
| Medicare PECOS PAC ID | 2365885266 |
|---|---|
| Medicare Enrollment ID | O20240207003762 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1780446914 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207R00000X | Internal Medicine | (* (Not Available)) | Primary |
| Provider Name | Unknown Priyanka |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1063677706 PECOS PAC ID: 6608154976 Enrollment ID: I20220708000862 |
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