MEDICARE: MOBILE WELLCARE CLINIC 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	3747A0650X	Attendant Care Provider
2	251E00000X	Home Health Agency

General Provider Information

NPI Number	:	1871449835
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	MOBILE WELLCARE CLINIC LLC

Provider Business Mailing Address
First Line	:	2835 MARIPOSA DR
Second Line	:
City	:	GRAND PRAIRIE
State	:	TX
Zip	:	75054-0058
Country	:	US
Telephone Number	:	469-934-9944
Fax Number	:

Provider Business Practice Location Address
First Line	:	2835 MARIPOSA DR
Second Line	:
City	:	GRAND PRAIRIE
State	:	TX
Zip	:	75054-0058
Country	:	US
Telephone Number	:	469-934-9944
Fax Number	:

Authorized Official
Title or Position	:	OWNER
Name	:	MACIA U MICHEAL
Credential	:	RN
Telephone Number	:	469-934-9944

Provider Enumeration Date	:	03/10/2026
Last Update Date	:	03/10/2026

Similar Medicare Providers

1023991544 — MACIA UCHE MICHEAL FNP
Practice Location Address:

2835 MARIPOSA DR
GRAND PRAIRIE, TX
75054-0058

Practice Phone: 972-400-3900
Practice Fax: 469-224-9190

1942191382 — YVONNE NGWANAH
Practice Location Address:

7223 HERBOSO
GRAND PRAIRIE, TX
75054

Practice Phone: 817-903-0841
Practice Fax:

1770430688 — WINTANA KAHSAI
Practice Location Address:

6873 CAPE COD DR
GRAND PRAIRIE, TX
75054-6826

Practice Phone: 817-899-2087
Practice Fax:

1679420285 — CANDICE NICOLE JOHNSON
Practice Location Address:

2675 VILLA DI LAGO UNIT 1
GRAND PRAIRIE, TX
75054-6650

Practice Phone: 682-888-7353
Practice Fax:

1497748529 — KATHLEEN ELIZABETH SHARP MD
Practice Location Address:

7577 SEVIE LN
GRAND PRAIRIE, TX
75054-1200

Practice Phone: 903-399-6724
Practice Fax:

1225075864 — ROBERT MICHAEL HOWINGTON CRNA
Practice Location Address:

2452 LAKEWOOD DR
GRAND PRAIRIE, TX
75054-6800

Practice Phone: 972-743-2126
Practice Fax:

Directions to “MOBILE WELLCARE CLINIC LLC ” Practice Location

Language	Start Address	Practice Location

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.

Copyright © 2007-2026 (Powered by Swiss Vault Engine), all rights reserved. HIPAA liability, trademark, document use and software licensing rules apply. All registered trademarks, used in the content, are the property of their owners. Your interactions with this site are in accordance with our Terms of Use and Privacy Policy.