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General NPI Number Information
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NPI Number | 1477194819
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Entity Type | Organization
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Legal Business Name | WELLNESS RHEUMATOLOGY, PLLC
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Dates
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Enumeration Date | 10/07/2019
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Last Update Date | 06/25/2025
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Provider Practice Location Address
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Address Line | 7121 COLLEYVILLE BLVD STE 101
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City | COLLEYVILLE
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State | TX
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Zip | 76034-6303
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Country | US
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Telephone | 833-415-2161
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Fax | 817-862-9108
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Provider Business Mailing Address
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Address Line | 7121 COLLEYVILLE BLVD STE 101
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City | COLLEYVILLE
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State | TX
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Zip | 76034-6303
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Country | US
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Telephone | 833-415-2161
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Fax | 817-862-9108
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Authorized Official
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Title or Position | PRESIDENT
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Name | DR. AYESHA KANWAL
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Credential | MD
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Telephone | 817-703-8671
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207RR0500X
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Taxonomy Name | Rheumatology Physician
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License Number |
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License Number State |
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