Van Health And Wellness, PLLC
Clinic/Center in Van, TX. Organization (NPI-2).
NPI number1194482778
StatusActive
Last updated in NPPESNov 18, 2021
Details
- NPI
- 1194482778
- Entity type
- Organization (NPI-2)
- Legal business name
- Van Health And Wellness, PLLC
- Organization subpart
- No
- Enumeration date
- Nov 18, 2021
- Certification date
- Nov 7, 2021
- Last updated
- Nov 18, 2021
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 261Q00000X | Clinic/Center | – | – | Yes |
Other names
- Van Family Medical (Other Name)
Practice location
488 W. Main StreetVan, TX 75790
Phone 903-963-6850
Mailing address
2299 Vz County Road 4909Ben Wheeler, TX 75754-4220
Phone 903-368-0414
Authorized official
Constance Bentley
Owner
9033680414
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