Provider Demographics
NPI:1821227968
Name:HUMPERT HEALTH, PA
Entity Type:Organization
Organization Name:HUMPERT HEALTH, PA
Other - Org Name:WELLNESS FRAMILY HEALTH CENTER
Other - Org Type:Doing Business As
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:NATALIE
Authorized Official - Middle Name:
Authorized Official - Last Name:HUMPERT
Authorized Official - Suffix:
Authorized Official - Credentials:DO
Authorized Official - Phone:972-539-4333
Mailing Address - Street 1:PO BOX 3336
Mailing Address - Street 2:
Mailing Address - City:MCKINNEY
Mailing Address - State:TX
Mailing Address - Zip Code:75070-8187
Mailing Address - Country:US
Mailing Address - Phone:972-529-4333
Mailing Address - Fax:972-547-4306
Practice Address - Street 1:6717 W ELDORADO PKWY
Practice Address - Street 2:SUITE 140
Practice Address - City:MCKINNEY
Practice Address - State:TX
Practice Address - Zip Code:75070-5635
Practice Address - Country:US
Practice Address - Phone:972-529-4333
Practice Address - Fax:972-547-4306
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2009-07-10
Last Update Date:2009-07-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily MedicineGroup - Multi-Specialty