NPI | 1528775418 |
---|---|
Doing Business As | WELLNESS PRACTICES OF AMERICA |
Entity Type | Organization |
Authorized Contact | AUSTIN BRADY DAVIDSON Provider 903-238-1852 |
Organization Subpart ? | No |
Primary Taxonomy | 207Q00000X Family Medicine |
Enumeration Date | 2022-11-01 |
Last Update Date | 2022-11-01 |