Organization · Type 2 NPI
Grapevine Total Wellness PLLC
Adult Medicine Physician · Grapevine, TX
NPI number
1215594577
Active
Practice location
1000 W St Hwy 114
Grapevine, TX 76051-3987
Mailing address
5000 Eldorado Pkwy Ste 150-153
Frisco, TX 75033-8695
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Adult Medicine Physician Primary | 207QA0505X | None listed |
Adult Medicine Physician: The NUCC recommends this code not be used. Choose a more appropriate code.
Other adult medicine physician providers in Grapevine
About NPI 1215594577
Grapevine Total Wellness PLLC's National Provider Identifier is 1215594577, issued on May 22, 2019. The primary taxonomy on file is Adult Medicine Physician (207QA0505X), and the practice location is in Grapevine, TX. The record was last updated on Jun 11, 2019.