Glc Wellness Center Texas Llc

LBN: Glc Wellness Center Texas Llc
Glc Wellness Center Texas Llc is an health care organization with primary practice located at 777 E Wheatland Rd Ste 106 , Duncanville TX 75116-4918. The organization recently has 2 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Mental Health, Allopathic & Osteopathic Physicians / General Practice. Allopathic & Osteopathic Physicians / General Practice is the primary health care specialty. Glc Wellness Center Texas Llc can be contacted via phone (702) 587-8106, or through Young, Dante via phone (702) 587-8106.

Contact Information

Primary practice address
777 E Wheatland Rd Ste 106 Duncanville TX 75116-4918
Phone: (702) 587-8106
Fax: (972) 685-5108
Website:
Map and Directions
Authorized official contact:
Name: Young, Dante
Phone: (702) 587-8106

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Mental Health 101YM0800X
Allopathic & Osteopathic Physicians / General Practice 208D00000X

Profile Details

NPI number 1700433653
LBN Legal business name Glc Wellness Center Texas Llc
DBA Doing business as
Authorized official Young, Dante
Entity Organization
Organization subpart 1 No
Enumeration date Aug 23rd, 2019
Last updated Jun 30th, 2023 - about last year

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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Identifiers

StateTypeNumberIssuer
All States NPI 1700433653 NPPES
Texas MEDICAID 405039501
Texas MEDICAID 455039503
Texas MEDICAID 405039504
Texas MEDICAID 405039502

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