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NPI Code Detail

MEDICARE: PEER 2 PEER WHOLE WELLNESS

MEDICARE: PEER 2 PEER WHOLE WELLNESS
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1172V00000XCommunity Health Worker
2171M00000XCase Manager/Care Coordinator

General Provider Information

NPI Number : 1386587939
Entity Type Code : Organization
Provider Name (Legal Business Name) : PEER 2 PEER WHOLE WELLNESS
Provider Business Mailing Address
First Line : 110 W RANDOL MILL RD STE 101
Second Line :
City : ARLINGTON
State : TX
Zip : 76011-4612
Country : US
Telephone Number : 469-755-2206
Fax Number :
Provider Business Practice Location Address
First Line : 110 W RANDOL MILL RD STE 101
Second Line :
City : ARLINGTON
State : TX
Zip : 76011-4612
Country : US
Telephone Number : 469-755-2206
Fax Number :
Authorized Official
Title or Position : EX DIR
Name : JACK BROWN
Credential : MHPS/RSPS
Telephone Number : 469-755-2206
Provider Enumeration Date : 04/09/2026
Last Update Date : 04/09/2026

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Directions to “PEER 2 PEER WHOLE WELLNESS ” Practice Location

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These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

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