| NPI | 1912458266 |
|---|---|
| Doing Business As | NEXTGEN WELLNESS CLINIC |
| Entity Type | Organization |
| Authorized Contact | GRANT STOPHLET Physical Therapist 972-382-9992 |
| Organization Subpart ? | No |
| Primary Taxonomy | 302R00000X Health Maintenance Organization (Licence: TX 1265208) |
| Enumeration Date | 2016-10-21 |
| Last Update Date | 2016-10-21 |