Twelve52 Wellness Clinic

NPI #1386210441 in Longview, Texas

Provider Information

NPI Number
1386210441
Entity Type
Organization
Organization Name
Twelve52 Wellness Clinic
Primary Specialty
Clinic/Center - Primary Care
Enumeration Date
May 31, 2021
Last Updated
Sep 17, 2021

Practice Location

Address
2010 GILMER RD STE 103A
State
Texas
ZIP Code
75604-2545
Phone
(903) 347-5483

Authorized Official

Name
TAMEKA ROYAL, APRN
Title
NURSE PRACTITIONER
Phone
(903) 399-4521

Specialties & Taxonomy Codes

Specialty
Clinic/Center - Urgent CareUrgent Care
Clinic/Center - Primary CarePrimary Care

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