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COMPLETE FAMILY WELLNESS PLLC NPI 1083198691


NPI Information

NPI: 1083198691
Provider Name: COMPLETE FAMILY WELLNESS PLLC
Classification: General Practice - 208D00000X
Entity Type: Organization

CLIA Number: 45D2158653

Address:
4125 FAIRWAY DR STE 190
CARROLLTON, TX
ZIP 75010
Phone: (469) 431-0486
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COMPLETE FAMILY WELLNESS PLLC is a general practice in Carrollton, TX. The provider is a physician who specializes in the general practice of diagnosing, treating, and managing patients with a variety of illnesses and conditions. Source: National Uniform Claim Committee COMPLETE FAMILY WELLNESS PLLC NPI is 1083198691. The provider is registered as an organization entity type and is a multi-specialty group.

The provider's business location address is:

4125 FAIRWAY DR STE 190
CARROLLTON, TX
ZIP 75010-506
Phone: (469) 431-0486

The provider's authorized official is Salima Jaffer .
The authorized official title is Director and has the following contact phone number (469) 431-0486.

The CLIA number assigned to this NPI record is 45D2158653 - physician office with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 9/19/2018 and was last updated on 6/16/2021.


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
1208D00000XGeneral PracticeYes
2293D00000XPhysiological LaboratoryNo

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

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