| Wellcare Professionals LLC | |
|
1109 E 5th St Ste B Tyler TX 75701-3318 | |
| (903) 354-0231 | |
| Not Available |
| Full Name | Wellcare Professionals LLC |
|---|---|
| Speciality | Internal Medicine |
| Location | 1109 E 5th St Ste B, Tyler, Texas |
| Authorized Official Name and Position | Niaz Farhat (OWNER) |
| Authorized Official Contact | 2145061136 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Wellcare Professionals LLC 21175 Tomball Pkwy # 504 Houston TX 77070-1655 Ph: (214) 506-1136 | Wellcare Professionals LLC 1109 E 5th St Ste B Tyler TX 75701-3318 Ph: (903) 354-0231 |
| NPI Number | 1447728134 |
|---|---|
| Provider Enumeration Date | 11/12/2018 |
| Last Update Date | 01/07/2022 |
| Certification Date | 01/07/2022 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1447728134 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207R00000X | Internal Medicine | () | Primary |
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