MEDICARE: HEALMED PLLC

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	261QM1300X	Multi-Specialty Clinic/Center

General Provider Information

NPI Number	:	1841760964
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	HEALMED PLLC

Provider Business Mailing Address
First Line	:	2608 STONE HAVEN CT
Second Line	:
City	:	ARLINGTON
State	:	TX
Zip	:	76012-5555
Country	:	US
Telephone Number	:
Fax Number	:

Provider Business Practice Location Address
First Line	:	909 9TH AVE STE 208
Second Line	:
City	:	FT WORTH
State	:	TX
Zip	:	76104-3931
Country	:	US
Telephone Number	:	817-823-9669
Fax Number	:

Authorized Official
Title or Position	:	MANAGER
Name	:	NOAH SEITEL
Credential	:
Telephone Number	:	817-823-9669

Provider Enumeration Date	:	12/01/2018
Last Update Date	:	12/01/2018

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Directions to “HEALMED PLLC ” Practice Location

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