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General NPI Number Information
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NPI Number | 1649950247
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Entity Type | Organization
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Legal Business Name | REFINED WELLNESS LLC
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Dates
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Enumeration Date | 07/19/2023
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Last Update Date | 06/09/2025
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Provider Practice Location Address
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Address Line | 904 W MCDERMOTT DR # 312
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City | ALLEN
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State | TX
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Zip | 75013-5428
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Country | US
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Telephone | 469-358-0768
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Fax | 972-947-5570
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Provider Business Mailing Address
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Address Line | 1149 MODESTA DR
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City | ALLEN
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State | TX
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Zip | 75013-8538
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Country | US
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Telephone | 972-897-7399
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Fax | 972-947-5570
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Authorized Official
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Title or Position | PHYSICIAN
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Name | DR. BECKY L CHANDLER
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Credential | MD
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Telephone | 469-358-0768
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 261QP2300X
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Taxonomy Name | Primary Care Clinic/Center
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License Number |
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License Number State |
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Taxonomy #2
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Taxonomy Code | 261Q00000X
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Taxonomy Name | Clinic/Center
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License Number |
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License Number State |
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