Provider Demographics
NPI:1568046175
Name:BEYOND WELLNESS TOTAL CARE PLLC
Entity Type:Organization
Organization Name:BEYOND WELLNESS TOTAL CARE PLLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:APRN, FNP-C
Authorized Official - Prefix:
Authorized Official - First Name:BRITTANY
Authorized Official - Middle Name:
Authorized Official - Last Name:HAFER
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:972-694-7899
Mailing Address - Street 1:450 HAWKINS RUN RD STE 4
Mailing Address - Street 2:
Mailing Address - City:MIDLOTHIAN
Mailing Address - State:TX
Mailing Address - Zip Code:76065-6673
Mailing Address - Country:US
Mailing Address - Phone:972-694-7899
Mailing Address - Fax:972-694-7889
Practice Address - Street 1:450 HAWKINS RUN RD STE 4
Practice Address - Street 2:
Practice Address - City:MIDLOTHIAN
Practice Address - State:TX
Practice Address - Zip Code:76065-6673
Practice Address - Country:US
Practice Address - Phone:903-926-0684
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2021-05-10
Last Update Date:2022-06-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamilyGroup - Single Specialty