Provider Demographics
NPI:1194407825
Name:HEALTH WELL TX LLC
Entity type:Organization
Organization Name:HEALTH WELL TX LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CEO
Authorized Official - Prefix:DR
Authorized Official - First Name:MOHAMMED
Authorized Official - Middle Name:A
Authorized Official - Last Name:MOHIUDDIN
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:972-226-8900
Mailing Address - Street 1:1309 BRADSHAW DR
Mailing Address - Street 2:
Mailing Address - City:PLANO
Mailing Address - State:TX
Mailing Address - Zip Code:75074-7905
Mailing Address - Country:US
Mailing Address - Phone:972-226-8900
Mailing Address - Fax:972-218-0554
Practice Address - Street 1:201 N I 35 # 160
Practice Address - Street 2:
Practice Address - City:GAINESVILLE
Practice Address - State:TX
Practice Address - Zip Code:76240-6418
Practice Address - Country:US
Practice Address - Phone:972-226-8900
Practice Address - Fax:972-218-0554
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2023-08-02
Last Update Date:2023-11-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207QA0401XAllopathic & Osteopathic PhysiciansFamily MedicineAddiction MedicineGroup - Single Specialty