MEDICARE: ROTHEM WELLNESS LLC

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
1	363LF0000X	Family Nurse Practitioner

General Provider Information

NPI Number	:	1609700616
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	ROTHEM WELLNESS LLC

Provider Business Mailing Address
First Line	:	301 BROOKS LN
Second Line	:
City	:	COPPELL
State	:	TX
Zip	:	75019-3921
Country	:	US
Telephone Number	:
Fax Number	:

Provider Business Practice Location Address
First Line	:	301 BROOKS LN
Second Line	:
City	:	COPPELL
State	:	TX
Zip	:	75019-3921
Country	:	US
Telephone Number	:	214-301-0032
Fax Number	:

Authorized Official
Title or Position	:	NP
Name	:	HEEJA YUN
Credential	:
Telephone Number	:	214-301-0032

Provider Enumeration Date	:	06/12/2026
Last Update Date	:	06/12/2026

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Directions to “ROTHEM WELLNESS LLC ” Practice Location

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