| NPI | 1689356479 |
|---|---|
| Doing Business As | WALL WELLNESS & ASSOCIATES |
| Entity Type | Organization |
| Authorized Contact | LORETTA WALL CEO 817-247-0034 |
| Organization Subpart ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family |
| Enumeration Date | 2023-08-02 |
| Last Update Date | 2023-12-21 |