Mw Wellness Iv, LLC

NPI #1518405737 in Waco, Texas

Provider Information

NPI Number: 1518405737
Entity Type: Organization
Organization Name: Mw Wellness Iv, LLC
Primary Specialty: Family Medicine
Enumeration Date: Feb 8, 2017
Last Updated: Feb 8, 2017

Practice Location

Address: 611 W HWY 6
Address 2: SUITE 108
City: Waco
State: Texas
ZIP Code: 76710-7544
Phone: (254) 741-8686

Authorized Official

Name: WENDIE NONCLERC
Title: DIRECTOR OF INSURANCE DEVELOPMENT
Phone: (813) 228-6334

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Family Medicine	207Q00000X	Primary

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