| Make You Well Primary Care Pllc | |
|
4011 E Renner Rd Ste 110 Richardson TX 75082-2917 | |
| (832) 654-7859 | |
| Not Available |
| Full Name | Make You Well Primary Care Pllc |
|---|---|
| Speciality | Clinic/Center |
| Location | 4011 E Renner Rd Ste 110, Richardson, Texas |
| Authorized Official Name and Position | Danielle Brown (DIRECTOR) |
| Authorized Official Contact | 8326547859 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Make You Well Primary Care Pllc 4011 E Renner Rd Ste 110 Richardson TX 75082-2917 Ph: (832) 654-7859 | Make You Well Primary Care Pllc 4011 E Renner Rd Ste 110 Richardson TX 75082-2917 Ph: (832) 654-7859 |
| NPI Number | 1437980901 |
|---|---|
| Provider Enumeration Date | 08/08/2024 |
| Last Update Date | 08/08/2024 |
| Medicare PECOS PAC ID | 9830624840 |
|---|---|
| Medicare Enrollment ID | O20241128000081 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1437980901 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QP2300X | Clinic/center - Primary Care | (* (Not Available)) | Primary |
| Provider Name | Teodora A Livengood |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1023217221 PECOS PAC ID: 4183846710 Enrollment ID: I20141114000130 |
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