Organization · NPI-2

Advanced Center For Welness LLC

Family Medicine · Laredo, TX

NPI number1720467939
StatusActive
Last updated in NPPESMay 20, 2015

Details

NPI
1720467939
Entity type
Organization (NPI-2)
Legal business name
Advanced Center For Welness LLC
Organization subpart
No
Enumeration date
May 20, 2015
Last updated
May 20, 2015

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
207Q00000X Family Medicine–TXYes
225100000X Physical Therapist–TX

Practice location

6801 Mcpherson Rd Ste 213
Laredo, TX 78041

Phone 956-717-2629 · Fax 956-727-4629

Mailing address

6801 Mcpherson Rd Ste 213
Laredo, TX 78041

Phone 956-717-2629 · Fax 956-727-4629

Authorized official

Jose A Gonzalez
Owner
9567272629

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