Organization Name: | WELLNESS & CARE GROUP OF TEXAS, INC. |
NPI Number: | 1487964870 |
Entity Type Code: | Organizational (2) |
Authorized Official Name: | NIAZ FARHAT (OWNER) |
Mailing Address: | 1350 E Arapaho Rd Ste 212 Richardson |
State: | TX US |
Postal Code: | 750812455 |
Phone Number: | 2145061136 |
Fax Number: | 2147053786 |
NPI Enumeration Date: | 10/19/2010 |
NPI Last Update Date: | 01/28/2015 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 208D00000X |
License Number: | |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | |
Taxonomy Type: | Allopathic & Osteopathic Physicians |
Taxonomy Classification: | General Practice |
Taxonomy Specialization: | |
Taxonomy Definition: |