Healthcare Provider Details

I. General information

NPI: 1689211971
Provider Name (Legal Business Name): TOTAL HEALTH AND WELLNESS PLLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 12/05/2019
Last Update Date: 12/06/2019
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

6435 S FM 549 STE 201A
HEATH TX
75032-6220
US

IV. Provider business mailing address

5907 YACHT CLUB DR
ROCKWALL TX
75032-5749
US

V. Phone/Fax

Practice location:
  • Phone: 214-455-2487
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363LF0000X
TaxonomyFamily Nurse Practitioner
License Number
License Number State

VIII. Authorized Official

Name: SHERRY A HOOVER
Title or Position: OWNER
Credential: FNP
Phone: 214-455-2487