Willow Wellness Center, P.A.
LBN: Willow Wellness Center, P.A.
Willow Wellness Center, P.A. is an health care organization with primary practice located at 820 E Front St , Tyler TX 75702-8326. The organization recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Internal Medicine, Allopathic & Osteopathic Physicians / Cardiovascular Disease. Allopathic & Osteopathic Physicians / Internal Medicine is the primary health care specialty.
Willow Wellness Center, P.A. can be contacted via phone (903) 596-0602, or through Smith, Angela Nell via phone (903) 596-0602.
Contact Information
Primary practice address
820 E Front St
Tyler TX 75702-8326
Phone: (903) 596-0602
Fax: (903) 596-0620
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Internal Medicine | 207R00000X | ||
| Allopathic & Osteopathic Physicians / Cardiovascular Disease | 207RC0000X |
Profile Details
| NPI number | 1346346335 |
|---|---|
| LBN Legal business name | Willow Wellness Center, P.A. |
| DBA Doing business as | |
| Authorized official | Smith, Angela Nell Doctor of Medicine (MD) |
| Entity | Organization |
| Organization subpart 1 | No |
| Enumeration date | Sep 16th, 2006 |
| Last updated | Nov 30th, 2011 - about 13 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1346346335 | NPPES |
| Texas | MEDICAID | 031016101 |
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