Healthcare Provider Details

I. General information

NPI: 1700580743
Provider Name (Legal Business Name): CHALMERS WELLNESS GROUP
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 03/27/2023
Last Update Date: 03/27/2023
Certification Date: 03/27/2023
Deactivation Date:
Reactivation Date:

III. Provider practice location address

6988 LEBANON RD STE 101
FRISCO TX
75034-6743
US

IV. Provider business mailing address

6988 LEBANON RD STE 101
FRISCO TX
75034-6743
US

V. Phone/Fax

Practice location:
  • Phone: 214-446-5300
  • Fax:
Mailing address:
  • Phone: 214-446-5300
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code332B00000X
TaxonomyDurable Medical Equipment & Medical Supplies
License Number
License Number State

VIII. Authorized Official

Name: MATTHEW SCOTT CHALMERS
Title or Position: OWNER
Credential:
Phone: 214-446-5300