| T. Garrett Family Health And Wellness Clinic | |
|
315 S Cockrell Hill Rd Ste 200 Duncanville TX 75116 | |
| (972) 572-2121 | |
| (214) 580-5180 |
| Full Name | T. Garrett Family Health And Wellness Clinic |
|---|---|
| Speciality | Clinic/Center |
| Location | 315 S Cockrell Hill Rd Ste 200, Duncanville, Texas |
| Authorized Official Name and Position | Travicia Lacole Garrett (OWNER/ NURSE PRACTITIONER) |
| Authorized Official Contact | 2149663070 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| T. Garrett Family Health And Wellness Clinic 633 W Davis St Ste 1032 Dallas TX 75208-4745 Ph: (972) 572-2121 | T. Garrett Family Health And Wellness Clinic 315 S Cockrell Hill Rd Ste 200 Duncanville TX 75116 Ph: (972) 572-2121 |
| NPI Number | 1174024731 |
|---|---|
| Provider Enumeration Date | 02/27/2018 |
| Last Update Date | 06/16/2018 |
| Medicare PECOS PAC ID | 6800151853 |
|---|---|
| Medicare Enrollment ID | O20180921000257 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1174024731 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QP2300X | Clinic/center - Primary Care | (* (Not Available)) | Primary |
| 363LF0000X | Nurse Practitioner - Family | (* (Not Available)) | Secondary |
| Provider Name | Travicia L Garrett |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1245768852 PECOS PAC ID: 4385917947 Enrollment ID: I20170901000236 |
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