| Family Care And Wellness, Pllc | |
|
915 W Exchange Pkwy Ste 210 Allen TX 75013-7032 | |
| (469) 656-1033 | |
| (855) 231-4739 |
| Full Name | Family Care And Wellness, Pllc |
|---|---|
| Speciality | Family Medicine |
| Location | 915 W Exchange Pkwy Ste 210, Allen, Texas |
| Authorized Official Name and Position | Tariq R Mallick (OWNER) |
| Authorized Official Contact | 4696561033 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Family Care And Wellness, Pllc 8054 Shackelford Dr Frisco TX 75035-0593 Ph: () - | Family Care And Wellness, Pllc 915 W Exchange Pkwy Ste 210 Allen TX 75013-7032 Ph: (469) 656-1033 |
| NPI Number | 1366099194 |
|---|---|
| Provider Enumeration Date | 08/26/2019 |
| Last Update Date | 03/12/2020 |
| Medicare PECOS PAC ID | 5698109866 |
|---|---|
| Medicare Enrollment ID | O20191220001055 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1366099194 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | (* (Not Available)) | Primary |
| Provider Name | Tariq Rahman Mallick |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1760485478 PECOS PAC ID: 3678549953 Enrollment ID: I20150831000671 |
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