Evergreen Testosterone Clinic & Primary Care

LBN: Evergreen Testosterone Clinic & Primary Care
Evergreen Testosterone Clinic & Primary Care is an health care organization with primary practice located at 619 Matlock Centre Cir , Arlington TX 76015-2535. The organization recently has only one registered license in Ambulatory Health Care Facilities / Primary Care, which is considered as the primary health care specialty. Evergreen Testosterone Clinic & Primary Care can be contacted via phone (214) 870-0885, or through Wamwiri, Ken via phone (214) 870-0885.

Contact Information

Primary practice address
619 Matlock Centre Cir Arlington TX 76015-2535
Phone: (214) 870-0885
Fax:
Website:
Map and Directions
Authorized official contact:
Name: Wamwiri, Ken Family Nurse Practitioner (FNP)
Phone: (214) 870-0885

Health care specialties

SpecialtyCodeLicense #State
Ambulatory Health Care Facilities / Primary Care 261QP2300X

Profile Details

NPI number 1942710256
LBN Legal business name Evergreen Testosterone Clinic & Primary Care
DBA Doing business as
Authorized official Wamwiri, Ken Family Nurse Practitioner (FNP)
Entity Organization
Organization subpart 1 No
Enumeration date Oct 2nd, 2017
Last updated Oct 2nd, 2017 - about 7 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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