| Livingwell Business Group Inc | |
|
912 Wright St Ste A Arlington TX 76012-4759 | |
| (682) 554-7560 | |
| (972) 522-0088 |
| Full Name | Livingwell Business Group Inc |
|---|---|
| Speciality | Clinic/Center |
| Location | 912 Wright St Ste A, Arlington, Texas |
| Authorized Official Name and Position | Chinedu Carolyne Okafor (FAMILY NURSE PRACTITIONER) |
| Authorized Official Contact | 8172668583 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Livingwell Business Group Inc 912 Wright St Ste A Arlington TX 76012-4759 Ph: (682) 554-7560 | Livingwell Business Group Inc 912 Wright St Ste A Arlington TX 76012-4759 Ph: (682) 554-7560 |
| NPI Number | 1407330418 |
|---|---|
| Provider Enumeration Date | 09/17/2018 |
| Last Update Date | 11/07/2022 |
| Medicare PECOS PAC ID | 4385069152 |
|---|---|
| Medicare Enrollment ID | O20200811000755 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1407330418 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QP2300X | Clinic/center - Primary Care | (* (Not Available)) | Primary |
| Provider Name | Chinedu Okafor |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1396111571 PECOS PAC ID: 4880619196 Enrollment ID: I20200811000983 |
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