Organization · Type 2 NPI
Diabetes Wellness Clinic PLLC
Medical Specialty Clinic/Center · Pearland, TX
Practice location
10970 Shadow Creek Pkwy Ste 260
Pearland, TX 77584-0121
Fax (832) 524-4043
Mailing address
11404 Misty Morning St
Pearland, TX 77584-8374
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Medical Specialty Clinic/Center Primary | 261QM2500X | L6339 (TX) |
Medical Specialty Clinic/Center: An entity, facility, or distinct part of a facility providing diagnostic, treatment, and prescriptive services related to a specific area of medical specialization. Frequently used for Title V related Children's Specialty services or to meet specific public health needs (e.g., infectious diseases or breast and cervical cancer).
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About NPI 1003325960
Diabetes Wellness Clinic PLLC's National Provider Identifier is 1003325960, issued on Sep 23, 2017. The primary taxonomy on file is Medical Specialty Clinic/Center (261QM2500X), and the practice location is in Pearland, TX. The record was last updated on Sep 23, 2017.