INVIGORATE MEN'S HEALTH & WELLNESS PLLC NPI 1336521731

NPI Information

NPI: 1336521731
Provider Name: INVIGORATE MEN'S HEALTH & WELLNESS, PLLC

Doing Business As: INVIGORATE: LOW-T - HEALTH - WELLNESS

Classification: Clinic/Center - 261QP2300X
Entity Type: Organization

Specialization: Primary Care

Address:
4001 CEDAR ELM LN
SUITE B
WICHITA FALLS, TX
ZIP 76308
Phone: (940) 386-9334
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INVIGORATE MEN'S HEALTH & WELLNESS, PLLC is a primary care clinic center in Wichita Falls, TX. INVIGORATE MEN'S HEALTH & WELLNESS, PLLC NPI is 1336521731. The provider is registered as an organization entity type.
The provider Is Doing Business As Invigorate: Low-t - Health - Wellness.

The provider's business location address is:

4001 CEDAR ELM LN
SUITE B
WICHITA FALLS, TX
ZIP 76308-031
Phone: (940) 386-9334
Fax: (940) 386-9733

The provider's authorized official is Antoinette Rene Nunneley .
The authorized official title is Np/owner and has the following contact phone number (940) 386-9334.

The enumeration date for this NPI number is 6/22/2015 and was last updated on 6/22/2015.

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
1	261QP2300X	Clinic/Center	Primary Care	AP110354	TEXAS	Yes

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
1	144490302	MEDICAID	TEXAS
2	144490304	MEDICAID	TEXAS
3	P26043	MEDICARE UPIN

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: 4/28/2024

NPI Synchronization or Removal

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