GLC WELLNESS CENTER AUSTIN NPI 1639788243

NPI Information

NPI: 1639788243
Provider Name: GLC WELLNESS CENTER AUSTIN
Classification: General Practice - 208D00000X
Entity Type: Organization
Address:
3781 PARADISE HILLS DR APT 29201
EULESS, TX
ZIP 76040
Phone: (816) 419-5756
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GLC WELLNESS CENTER AUSTIN is a general practice in Euless, 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 GLC WELLNESS CENTER AUSTIN NPI is 1639788243. The provider is registered as an organization entity type and is a multi-specialty group.

The provider's business location address is:

3781 PARADISE HILLS DR APT 29201
EULESS, TX
ZIP 76040-413
Phone: (816) 419-5756

The provider's authorized official is Collins Watts Harris .
The authorized official title is Ceo and has the following contact phone number (816) 419-5756.

The enumeration date for this NPI number is 7/29/2020 and was last updated on 6/4/2022.

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	101YM0800X	Counselor	Mental Health			No
2	208D00000X	General Practice				Yes

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

NPI Synchronization or Removal

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