| Complete Family Wellness Pllc | |
|
4125 Fairway Dr Ste 190 Carrollton TX 75010-6506 | |
| (469) 431-0486 | |
| Not Available |
| Full Name | Complete Family Wellness Pllc |
|---|---|
| Speciality | General Practice |
| Location | 4125 Fairway Dr Ste 190, Carrollton, Texas |
| Authorized Official Name and Position | Salima Jaffer (DIRECTOR) |
| Authorized Official Contact | 4694310486 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Complete Family Wellness Pllc 4125 Fairway Dr Ste 190 Carrollton TX 75010-6506 Ph: (469) 431-0486 | Complete Family Wellness Pllc 4125 Fairway Dr Ste 190 Carrollton TX 75010-6506 Ph: (469) 431-0486 |
| NPI Number | 1083198691 |
|---|---|
| Provider Enumeration Date | 09/19/2018 |
| Last Update Date | 06/16/2021 |
| Medicare PECOS PAC ID | 9032463575 |
|---|---|
| Medicare Enrollment ID | O20181119002895 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1083198691 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 208D00000X | General Practice | (* (Not Available)) | Primary |
| 293D00000X | Physiological Laboratory | (* (Not Available)) | Secondary |
| Provider Name | Salima Jaffer |
|---|---|
| Provider Type | Practitioner - General Practice |
| Provider Identifiers | NPI Number: 1003076167 PECOS PAC ID: 8224255062 Enrollment ID: I20140819000823 |
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