Provider Demographics
NPI:1821518994
Name:AMERI WELLNESS GROUP LLC
Entity Type:Organization
Organization Name:AMERI WELLNESS GROUP LLC
Other - Org Name:AMERI IMMUNIZATION & WELLNESS CENTER
Other - Org Type:Doing Business As
Authorized Official - Title/Position:DIRECTOR
Authorized Official - Prefix:
Authorized Official - First Name:MANSOOR
Authorized Official - Middle Name:A
Authorized Official - Last Name:KAZI
Authorized Official - Suffix:
Authorized Official - Credentials:FNP
Authorized Official - Phone:877-512-5442
Mailing Address - Street 1:50 BUSINESS PKWY STE F
Mailing Address - Street 2:
Mailing Address - City:RICHARDSON
Mailing Address - State:TX
Mailing Address - Zip Code:75081-5047
Mailing Address - Country:US
Mailing Address - Phone:877-512-5442
Mailing Address - Fax:877-512-6442
Practice Address - Street 1:50 BUSINESS PKWY STE F
Practice Address - Street 2:
Practice Address - City:RICHARDSON
Practice Address - State:TX
Practice Address - Zip Code:75081-5047
Practice Address - Country:US
Practice Address - Phone:877-512-5442
Practice Address - Fax:877-512-6442
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2017-06-21
Last Update Date:2022-07-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX261QC1800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QC1800XAmbulatory Health Care FacilitiesClinic/CenterCorporate Health