Physicians Wellness Associates Pllc

NPI #1225506223 in Southlake, Texas

Provider Information

NPI Number: 1225506223
Entity Type: Organization
Organization Name: Physicians Wellness Associates Pllc
Primary Specialty: Family Medicine
Enumeration Date: Nov 7, 2018
Last Updated: Nov 7, 2018

Practice Location

Address: 1920 EAST STATE HIGHWAY 114
City: Southlake
State: Texas
ZIP Code: 76092
Phone: (817) 442-5698

Authorized Official

Name: WILLIAM G REILLY, MD
Title: AUTHORIZED OFFICIAL
Phone: (817) 410-3800

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Family Medicine	207Q00000X	Primary

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