Wisdom Healthcare Clinic N Healthcare Services Inc
LBN: Wisdom Healthcare Clinic N Healthcare Services Inc
Wisdom Healthcare Clinic N Healthcare Services Inc is an health care organization with primary practice located at 403 W Main St Suite B, Lewisville TX 75057-3757. The organization recently has only one registered license in Allopathic & Osteopathic Physicians / Family Medicine, which is considered as the primary health care specialty.
Wisdom Healthcare Clinic N Healthcare Services Inc can be contacted via phone (817) 200-6189, or through Badejo, Michael A via phone (972) 436-1811.
Contact Information
Primary practice address
403 W Main St Suite B
Lewisville TX 75057-3757
Phone: (817) 200-6189
Fax: (469) 464-4398
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Family Medicine | 207Q00000X | PA04564 | Texas |
Profile Details
| NPI number | 1013176114 |
|---|---|
| LBN Legal business name | Wisdom Healthcare Clinic N Healthcare Services Inc |
| DBA Doing business as | |
| Authorized official | Badejo, Michael A Physician Assistant (PA) |
| Entity | Organization |
| Organization subpart 1 | No |
| Enumeration date | Jun 3rd, 2008 |
| Last updated | Jan 16th, 2010 - about 15 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 | 1013176114 | NPPES |
| Texas | MEDICAID | 198899001 | |
| Texas | Other | 1067786 | |
| Texas | Other | PA04564 |
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Healthplace
403 W Main St Suite B, Lewisville TX 75057-3757