| NPI | 1053880518 |
|---|---|
| Doing Business As | PHYSICIAN WELLNESS PROFESSIONAL ASSOCIATION |
| Entity Type | Organization |
| Authorized Contact | WILLIAM G REILLY Authorized Official 817-410-3800 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine |
| Enumeration Date | 2018-11-14 |
| Last Update Date | 2018-11-14 |