Organization · Type 2 NPI

Addison Total Wellness Clinic, PLLC

Adult Medicine Physician · Dallas, TX

NPI number 1043715303 Active

Practice location

15340 Dallas Pkwy Ste 2400
Dallas, TX 75248-6459

Call (800) 246-5698 Map

Mailing address

5000 Eldorado Pkwy Ste 150-153
Frisco, TX 75033-8695

Specialties and licenses

TaxonomyCodeLicense
Family Medicine Physician 207Q00000XNone listed
Adult Medicine Physician Primary 207QA0505XNone listed

Adult Medicine Physician: The NUCC recommends this code not be used. Choose a more appropriate code.

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About NPI 1043715303

Addison Total Wellness Clinic, PLLC's National Provider Identifier is 1043715303, issued on Mar 28, 2018. The primary taxonomy on file is Adult Medicine Physician (207QA0505X), and the practice location is in Dallas, TX. The record was last updated on Mar 28, 2018.