| Organization Name: | MEN'S WELLNESS AND TESTOSTERONE CENTER, LLC |
| NPI Number: | 1457725277 |
| Entity Type Code: | Organizational (2) |
| Authorized Official Name: | GULAM M WAHEED (MANAGING PARTNER) |
| Mailing Address: | 945 W Stacy Rd Ste 120 Allen |
| State: | TX US |
| Postal Code: | 750135077 |
| Phone Number: | 2142121538 |
| Fax Number: | |
| NPI Enumeration Date: | 11/17/2015 |
| NPI Last Update Date: | 11/17/2015 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 208D00000X |
| License Number: | N0923 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | TX |
| Taxonomy Type: | Allopathic & Osteopathic Physicians |
| Taxonomy Classification: | General Practice |
| Taxonomy Specialization: | |
| Taxonomy Definition: | |