Provider Demographics
NPI:1063118164
Name:TRIBE WELLNESS & CONCIERGE PLLC
Entity type:Organization
Organization Name:TRIBE WELLNESS & CONCIERGE PLLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:STEPHANIE
Authorized Official - Middle Name:
Authorized Official - Last Name:WEATHERBY
Authorized Official - Suffix:
Authorized Official - Credentials:FNP-C
Authorized Official - Phone:469-919-2029
Mailing Address - Street 1:PO BOX 6341
Mailing Address - Street 2:
Mailing Address - City:MCKINNEY
Mailing Address - State:TX
Mailing Address - Zip Code:75071-5109
Mailing Address - Country:US
Mailing Address - Phone:469-919-2029
Mailing Address - Fax:
Practice Address - Street 1:6501 ALDERBROOK PL
Practice Address - Street 2:
Practice Address - City:MCKINNEY
Practice Address - State:TX
Practice Address - Zip Code:75071-6884
Practice Address - Country:US
Practice Address - Phone:469-919-2029
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2023-02-01
Last Update Date:2023-02-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily MedicineGroup - Single Specialty