Provider Demographics
NPI:1235762303
Name:FIT & WELL, MD, PLLC
Entity Type:Organization
Organization Name:FIT & WELL, MD, PLLC
Other - Org Name:FIT & WELL, MD
Other - Org Type:Other Name
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:AFUA
Authorized Official - Middle Name:
Authorized Official - Last Name:AGYARKO
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:214-334-4280
Mailing Address - Street 1:4701 FM 2920 RD STE A2
Mailing Address - Street 2:
Mailing Address - City:SPRING
Mailing Address - State:TX
Mailing Address - Zip Code:77388-3111
Mailing Address - Country:US
Mailing Address - Phone:281-729-4481
Mailing Address - Fax:
Practice Address - Street 1:4701 FM 2920 RD STE A2
Practice Address - Street 2:
Practice Address - City:SPRING
Practice Address - State:TX
Practice Address - Zip Code:77388-3111
Practice Address - Country:US
Practice Address - Phone:281-729-6481
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2020-02-18
Last Update Date:2022-05-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes261Q00000XAmbulatory Health Care FacilitiesClinic/Center
Yes207R00000XAllopathic & Osteopathic PhysiciansInternal MedicineGroup - Single Specialty