| Wanner Mht LLC | |
|
1101 Alma St Ste 102 Tomball TX 77375-4559 | |
| (281) 351-1411 | |
| Not Available |
| Full Name | Wanner Mht LLC |
|---|---|
| Speciality | Family Medicine |
| Location | 1101 Alma St Ste 102, Tomball, Texas |
| Authorized Official Name and Position | Elizabeth J Wanner (OWNER) |
| Authorized Official Contact | 2813511411 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Wanner Mht LLC 1515 Heritage Drive Suite 110 Mckinney TX 75069-3379 Ph: (855) 860-2109 | Wanner Mht LLC 1101 Alma St Ste 102 Tomball TX 77375-4559 Ph: (281) 351-1411 |
| NPI Number | 1477972578 |
|---|---|
| Provider Enumeration Date | 04/16/2014 |
| Last Update Date | 01/02/2015 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1477972578 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | H8495 (Texas) | Primary |
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