Wholelife Authentic Care Provider Network
LBN: Wholelife Authentic Care Provider Network
Wholelife Authentic Care Provider Network is an health care organization with primary practice located at 1000 Bonnie Brae Ave Ste 120 , Fort Worth TX 76111-4301. The organization recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Pediatrics, Allopathic & Osteopathic Physicians / General Practice. Allopathic & Osteopathic Physicians / General Practice is the primary health care specialty.
Wholelife Authentic Care Provider Network can be contacted via phone (817) 706-3128, or through Havrilla, Nicole via phone (806) 220-6455.
Contact Information
Primary practice address
1000 Bonnie Brae Ave Ste 120
Fort Worth TX 76111-4301
Phone: (817) 706-3128
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Pediatrics | 208000000X | ||
| Allopathic & Osteopathic Physicians / General Practice | 208D00000X |
Profile Details
| NPI number | 1386200889 |
|---|---|
| LBN Legal business name | Wholelife Authentic Care Provider Network |
| DBA Doing business as | |
| Authorized official | Havrilla, Nicole |
| Entity | Organization |
| Organization subpart 1 | No |
| Enumeration date | May 10th, 2019 |
| Last updated | Jun 10th, 2022 - about 4 years ago |
1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.
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