Organization · Type 2 NPI
The Colony Total Wellness Clinic, PLLC
Adult Medicine Physician · The Colony, TX
NPI number
1669977831
Active
Practice location
4815 Sh 121 Ste 5
The Colony, TX 75056-2906
Mailing address
5000 Eldorado Pkwy Ste 150-153
Frisco, TX 75033-8695
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Family Medicine Physician | 207Q00000X | None listed |
| Adult Medicine Physician Primary | 207QA0505X | None listed |
Adult Medicine Physician: The NUCC recommends this code not be used. Choose a more appropriate code.
About NPI 1669977831
The Colony Total Wellness Clinic, PLLC's National Provider Identifier is 1669977831, issued on Mar 28, 2018. The primary taxonomy on file is Adult Medicine Physician (207QA0505X), and the practice location is in The Colony, TX. The record was last updated on Mar 28, 2018.