Active NPIOrganization

Addison Total Wellness Clinic, PLLC

Family Medicine, Adult Medicine in Dallas, Texas

NPI Number1043715303
Practice location
15340 Dallas Pkwy Ste 2400, Dallas, TX 75248-6459
Fax
—
Last updated
March 28, 2018

Addison Total Wellness Clinic, PLLC is a healthcare organization based in Dallas, TX. Addison Total Wellness Clinic, PLLC practices in Dallas, TX. The NPI Number for Addison Total Wellness Clinic, PLLC is 1043715303. The current practice location address for Addison Total Wellness Clinic, PLLC is 15340 Dallas Pkwy Ste 2400, Dallas, TX 75248-6459 and can be reached out via phone at 800-246-5698.

Provider Profile Details

NPI Number
1043715303
Provider Name
Addison Total Wellness Clinic, PLLC
Provider Entity Type
Organization
Address
15340 Dallas Pkwy Ste 2400, Dallas, TX 75248-6459
Phone Number
800-246-5698
Primary Taxonomy
Family Medicine, Adult Medicine · 207QA0505X
Organization Subpart
Yes
Parent Organization
Modern Male T-Clinic, P.a.
Authorized Official
Salvatore Campo, DO · Do/Physician · 214-714-5343
Provider Enumeration Date
March 28, 2018
Last Update Date
March 28, 2018
NPI Status
Active

Provider Business Practice Location Address Details

Address
15340 Dallas Pkwy Ste 2400
Dallas, TX 75248-6459
City
Dallas
State
Texas
Zip
75248-6459
Phone Number
800-246-5698
Dallas, TX 75248Get directions →

Provider Business Mailing Address Details

Address
5000 Eldorado Pkwy Ste 150-153
Frisco, TX 75033-8695
City
Frisco
State
TX
Zip
75033-8695

License Information

Taxonomy (1)
Family Medicine · 207Q00000X
Taxonomy (2)
Family Medicine, Adult Medicine · 207QA0505X · Primary

Legacy Identifiers

IdentifierTypeStateIssuer
No legacy identifiers (Medicaid, Medicare or plan IDs) are on file for this provider.

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Frequently Asked Questions

What is the NPI number of Addison Total Wellness Clinic, PLLC?

The NPI number of Addison Total Wellness Clinic, PLLC is 1043715303. It was assigned on March 28, 2018 and is currently active in the NPPES registry.

What is the specialty of Addison Total Wellness Clinic, PLLC?

Addison Total Wellness Clinic, PLLC is registered under the primary taxonomy Family Medicine, Adult Medicine (code 207QA0505X).

Where does Addison Total Wellness Clinic, PLLC practice?

The practice location is 15340 Dallas Pkwy Ste 2400, Dallas, TX 75248-6459. The office can be reached at 800-246-5698 (phone).

What is an NPI number?

A National Provider Identifier (NPI) is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). It is used in HIPAA standard transactions.

How do I verify this NPI record?

This record is sourced from the public NPPES NPI Registry maintained by CMS. You can confirm it by searching NPI 1043715303 directly on the NPPES registry website.

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