Organization · Type 2 NPI

Pearland Total Wellness Clinic, PLLC

Adult Medicine Physician · Pearland, TX

NPI number 1689179756 Active

Practice location

15718 S. Highway 288, Suite 110
Pearland, TX 77584

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 1689179756

Pearland Total Wellness Clinic, PLLC's National Provider Identifier is 1689179756, issued on Mar 29, 2018. The primary taxonomy on file is Adult Medicine Physician (207QA0505X), and the practice location is in Pearland, TX. The record was last updated on Mar 29, 2018.