Provider Demographics
NPI:1750041380
Name:TOTAL HEALTH & WELLNESS MEDICAL, PLLC
Entity Type:Organization
Organization Name:TOTAL HEALTH & WELLNESS MEDICAL, PLLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PHYSICIAN / OWNER
Authorized Official - Prefix:DR
Authorized Official - First Name:JOSEPH
Authorized Official - Middle Name:B
Authorized Official - Last Name:VENTIMIGLIA
Authorized Official - Suffix:
Authorized Official - Credentials:MD, PHD
Authorized Official - Phone:972-983-8915
Mailing Address - Street 1:1611 PHEASANT LN
Mailing Address - Street 2:
Mailing Address - City:SOUTHLAKE
Mailing Address - State:TX
Mailing Address - Zip Code:76092-3436
Mailing Address - Country:US
Mailing Address - Phone:972-983-8915
Mailing Address - Fax:817-761-5365
Practice Address - Street 1:7165 COLLEYVILLE BLVD STE 102
Practice Address - Street 2:
Practice Address - City:COLLEYVILLE
Practice Address - State:TX
Practice Address - Zip Code:76034-8010
Practice Address - Country:US
Practice Address - Phone:972-983-8915
Practice Address - Fax:817-761-5365
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2021-12-22
Last Update Date:2024-01-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily MedicineGroup - Single Specialty