| Wellness Bay Llc | |
|
4887-1 Williams Dr Ste 107 Georgetown TX 78633 | |
| (512) 588-7008 | |
| (888) 440-2690 |
| Full Name | Wellness Bay Llc |
|---|---|
| Speciality | Internal Medicine |
| Location | 4887-1 Williams Dr, Georgetown, Texas |
| Authorized Official Name and Position | Mohammad Al Darawsha (OWNER) |
| Authorized Official Contact | 5125887008 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Wellness Bay Llc 4887-1 Williams Dr Ste 107 Georgetown TX 78633 Ph: (512) 588-7008 | Wellness Bay Llc 4887-1 Williams Dr Ste 107 Georgetown TX 78633 Ph: (512) 588-7008 |
| NPI Number | 1407676737 |
|---|---|
| Provider Enumeration Date | 10/11/2024 |
| Last Update Date | 04/02/2025 |
| Medicare PECOS PAC ID | 0941736094 |
|---|---|
| Medicare Enrollment ID | O20241212000883 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1407676737 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207R00000X | Internal Medicine | (* (Not Available)) | Primary |
| Provider Name | Mohammad Al Darawsha |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1417443243 PECOS PAC ID: 9234531930 Enrollment ID: I20241212001004 |
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