MEDICARE: ACCESS WELLNESS RESOURCES

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy
1	174400000X	Specialist
2	363LF0000X	Family Nurse Practitioner
3	261QM1300X	Multi-Specialty Clinic/Center
4	363AM0700X	Medical Physician Assistant
5	207R00000X	Internal Medicine Physician
6	363A00000X	Physician Assistant
7	207Q00000X	Family Medicine Physician

General Provider Information

NPI Number	:	1568116291
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	ACCESS WELLNESS RESOURCES

Provider Business Mailing Address
First Line	:	16200 ADDISON RD STE 155
Second Line	:
City	:	ADDISON
State	:	TX
Zip	:	75001-5333
Country	:	US
Telephone Number	:	972-417-8937
Fax Number	:	972-439-1977

Provider Business Practice Location Address
First Line	:	2720 WESTERN CENTER BLVD STE 312
Second Line	:
City	:	FORT WORTH
State	:	TX
Zip	:	76131-4302
Country	:	US
Telephone Number	:	682-250-3018
Fax Number	:	817-666-3873

Authorized Official
Title or Position	:	VICE PRESIDENT, FINANCE & ADMIN
Name	:	AMBER GERHART
Credential	:
Telephone Number	:	817-886-4455

Provider Enumeration Date	:	02/10/2022
Last Update Date	:	05/26/2026

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Directions to “ACCESS WELLNESS RESOURCES ” Practice Location

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