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General NPI Number Information
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NPI Number | 1851802995
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Entity Type | Organization
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Legal Business Name | NATURAL WELLNESS OF TEXAS
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Dates
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Enumeration Date | 10/16/2017
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Last Update Date | 12/22/2020
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Provider Practice Location Address
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Address Line | 2601 N AZALEA ST STE 31
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City | VICTORIA
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State | TX
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Zip | 77901-4151
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Country | US
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Telephone | 361-485-0449
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Fax |
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Provider Business Mailing Address
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Address Line | 388 METTING RD
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City | GOLIAD
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State | TX
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Zip | 77963-3958
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Country | US
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Telephone | 361-392-1100
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Fax |
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Authorized Official
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Title or Position | OWNER
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Name | TIMOTHY HOLCOMB
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Credential | FNP
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Telephone | 361-392-1100
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207Q00000X
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Taxonomy Name | Family Medicine Physician
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License Number | AP130832
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License Number State | TX
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