The Colony Total Wellness Clinic, Pllc
NPI #1669977831 in The Colony, Texas
Provider Information
- NPI Number
- 1669977831
- Entity Type
- Organization
- Organization Name
- The Colony Total Wellness Clinic, Pllc
- Subpart
- Yes (part of a larger organization)
- Parent Organization
- MODERN MALE T-CLINIC, P.A.
- Primary Specialty
- Family Medicine - Adult Medicine
- Enumeration Date
- Mar 28, 2018
- Last Updated
- Mar 28, 2018
Practice Location
- Address
- 4815 SH 121 STE 5
- City
- The Colony
- State
- Texas
- ZIP Code
- 75056-2906
- Phone
- (800) 246-5698
Authorized Official
- Name
- SALVATORE CAMPO, DO
- Title
- DO/PHYSICIAN
- Phone
- (800) 246-5698
Specialties & Taxonomy Codes
| Specialty |
|---|
| Family Medicine |
| Family Medicine - Adult Medicine — Adult Medicine |
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