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BE WELL PRIMARY CARE MEDICINE PLLC NPI 1447774344


NPI Information

NPI: 1447774344
Provider Name: BE WELL PRIMARY CARE MEDICINE PLLC
Classification: Clinic/Center - 261QP2300X
Entity Type: Organization

Specialization: Primary Care

CLIA Number: 45D2266609

Address:
3800 NORTH TARRANT PARKWAY
SUITE 210
FORT WORTH, TX
ZIP 76244
Phone: (682) 593-6660
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BE WELL PRIMARY CARE MEDICINE PLLC is a primary care clinic center in Fort Worth, TX. BE WELL PRIMARY CARE MEDICINE PLLC NPI is 1447774344. The provider is registered as an organization entity type.

The provider's business location address is:

3800 NORTH TARRANT PARKWAY
SUITE 210
FORT WORTH, TX
ZIP 76244
Phone: (682) 593-6660
Fax: (888) 289-2380

The provider's authorized official is Radhika Vayani .
The authorized official title is Ceo/physician and has the following contact phone number (682) 593-6660.

The CLIA number assigned to this NPI record is 45D2266609 - physician office with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 8/1/2017 and was last updated on 2/3/2023.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1261QP2300XClinic/CenterPrimary CareYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No. Other Provider Identifier Other Provider Identifier Type Other Provider Identifier State Other Provider Identifier Issuer
11528559325OTHERMEDICARE
21396068870OTHERMEDICARE
31497019863OTHERMEDICARE

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 5/5/2024

All materials and services on this site are provided on an "as is" and "as available" basis without warranty of any kind. The NPI record is maintained by the National Plan & Provider Enumeration System (NPPES) and anyone may request this information and other NPPES health care provider data from HHS under The Freedom of Information Act (FOIA), Title 5 of the United States Code, section 552. To update the NPI records please contact the NPPES.