Advanced Wellness Group INC

NPI #1003099235 in Quinlan, Texas

Provider Information

NPI Number
1003099235
Entity Type
Organization
Organization Name
Advanced Wellness Group INC
Primary Specialty
Medical Genetics, Ph.D. Medical Genetics
Enumeration Date
Dec 11, 2007
Last Updated
Oct 17, 2012

Practice Location

Address
2705 E QUINLAN PKWY
State
Texas
ZIP Code
75474-8688
Phone
(903) 447-5470

Authorized Official

Name
MR. KENNETH RONALD DORITY, D.O.
Title
SUPERVISING PHYSICIAN
Phone
(903) 447-5470

Specialties & Taxonomy Codes

Specialty
Medical Genetics, Ph.D. Medical Genetics

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