Basic Information
| Provider Information | |||||||||
| NPI: | 1053992396 | ||||||||
| EntityType: | 2 | ||||||||
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| OrganizationName: | TWIN HEALTH AND WELLNESS CENTER | ||||||||
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| Mailing Information | |||||||||
| Address1: | 1323 E FRANKLIN STREET | ||||||||
| Address2: | SUITE 102 | ||||||||
| City: | HILLSBORO | ||||||||
| State: | TX | ||||||||
| PostalCode: | 76645 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 2544056697 | ||||||||
| FaxNumber: | 2542620699 | ||||||||
| Practice Location | |||||||||
| Address1: | 1323 E FRANKLIN STREET | ||||||||
| Address2: | SUITE 102 | ||||||||
| City: | HILLSBORO | ||||||||
| State: | TX | ||||||||
| PostalCode: | 76645 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 2545808500 | ||||||||
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| Other Information | |||||||||
| ProviderEnumerationDate: | 04/19/2021 | ||||||||
| LastUpdateDate: | 08/05/2022 | ||||||||
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| AuthorizedOfficialLastName: | GREEN | ||||||||
| AuthorizedOfficialFirstName: | ANDREW | ||||||||
| AuthorizedOfficialMiddleName: | CHARLES | ||||||||
| AuthorizedOfficialTitleorPosition: | TREASURER | ||||||||
| AuthorizedOfficialTelephone: | 4694861330 | ||||||||
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| IsOrganizationSubpart: | N | ||||||||
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| NPICertificationDate: | 08/05/2022 | ||||||||
Taxonomy Information
| Taxonomy | License | State | Switch | TaxonomyGroup | TaxonomyType | TaxonomyClass | SubSpecialty | 261Q00000X | N | Ambulatory Health Care Facilities | Clinic/Center | 261QC1500X | N | Ambulatory Health Care Facilities | Clinic/Center | Community Health | 207Q00000X | Y | 193400000X SINGLE SPECIALTY GROUP | Allopathic & Osteopathic Physicians | Family Medicine |
No ID Information.