Provider Demographics
NPI:1083198691
Name:COMPLETE FAMILY WELLNESS PLLC
Entity Type:Organization
Organization Name:COMPLETE FAMILY WELLNESS PLLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:DIRECTOR
Authorized Official - Prefix:DR
Authorized Official - First Name:SALIMA
Authorized Official - Middle Name:
Authorized Official - Last Name:JAFFER
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:469-431-0486
Mailing Address - Street 1:4125 FAIRWAY DR STE 190
Mailing Address - Street 2:
Mailing Address - City:CARROLLTON
Mailing Address - State:TX
Mailing Address - Zip Code:75010-6506
Mailing Address - Country:US
Mailing Address - Phone:469-431-0486
Mailing Address - Fax:
Practice Address - Street 1:4125 FAIRWAY DR STE 190
Practice Address - Street 2:
Practice Address - City:CARROLLTON
Practice Address - State:TX
Practice Address - Zip Code:75010-6506
Practice Address - Country:US
Practice Address - Phone:469-431-0486
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2018-09-19
Last Update Date:2021-06-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes208D00000XAllopathic & Osteopathic PhysiciansGeneral PracticeGroup - Multi-Specialty
No293D00000XLaboratoriesPhysiological LaboratoryGroup - Multi-Specialty