| One 2 Wellness | |
|
3140 Legacy Dr Ste 720 Frisco TX 75034-7917 | |
| (972) 292-0256 | |
| Not Available |
| Full Name | One 2 Wellness |
|---|---|
| Speciality | Clinic/Center |
| Location | 3140 Legacy Dr Ste 720, Frisco, Texas |
| Authorized Official Name and Position | Han Hwang (OWNER) |
| Authorized Official Contact | 9722920256 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| One 2 Wellness 6505 W Park Blvd Ste 306-434 Plano TX 75093-6208 Ph: () - | One 2 Wellness 3140 Legacy Dr Ste 720 Frisco TX 75034-7917 Ph: (972) 292-0256 |
| NPI Number | 1043821960 |
|---|---|
| Provider Enumeration Date | 08/13/2020 |
| Last Update Date | 08/13/2020 |
| Medicare PECOS PAC ID | 0840610978 |
|---|---|
| Medicare Enrollment ID | O20201028000743 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1043821960 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QP2300X | Clinic/center - Primary Care | (* (Not Available)) | Primary |
| Provider Name | Stephen Alan Kim |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1376563403 PECOS PAC ID: 9032292743 Enrollment ID: I20201030001353 |
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