| Be Well Memory and Infusion | |
|
16040 Park Valley Dr Ste 222a Round Rock TX 78681-3596 | |
| (512) 553-1921 | |
| (512) 532-6502 |
| Full Name | Be Well Memory and Infusion |
|---|---|
| Speciality | Internal Medicine |
| Location | 16040 Park Valley Dr Ste 222a, Round Rock, Texas |
| Authorized Official Name and Position | Jared Lee (CHIEF ADMINISTRATIVE OFFICER) |
| Authorized Official Contact | 4029379392 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Be Well Memory and Infusion 16040 Park Valley Dr Ste 222a Round Rock TX 78681-3596 Ph: (512) 553-1921 | Be Well Memory and Infusion 16040 Park Valley Dr Ste 222a Round Rock TX 78681-3596 Ph: (512) 553-1921 |
| NPI Number | 1780128140 |
|---|---|
| Provider Enumeration Date | 12/05/2016 |
| Last Update Date | 02/10/2026 |
| Certification Date | 02/10/2026 |
| Medicare PECOS PAC ID | 7214218452 |
|---|---|
| Medicare Enrollment ID | O20170103000354 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1780128140 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207QG0300X | Family Medicine - Geriatric Medicine | () | Secondary |
| 207R00000X | Internal Medicine | () | Primary |
| 207RH0003X | Internal Medicine - Hematology & Oncology | () | Secondary |
| Provider Name | Mark D Carlson |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1023008398 PECOS PAC ID: 2668461666 Enrollment ID: I20170103000388 |
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