Provider Demographics
NPI:1891194882
Name:316 ENTERPRISES LLC DBA WELLTECH SERVICES
Entity Type:Organization
Organization Name:316 ENTERPRISES LLC DBA WELLTECH SERVICES
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:NINA
Authorized Official - Middle Name:
Authorized Official - Last Name:FARRIS
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:832-928-4516
Mailing Address - Street 1:801 N MAIN ST STE 304
Mailing Address - Street 2:
Mailing Address - City:MCALLEN
Mailing Address - State:TX
Mailing Address - Zip Code:78501-0121
Mailing Address - Country:US
Mailing Address - Phone:832-928-4516
Mailing Address - Fax:
Practice Address - Street 1:801 N MAIN ST STE 304
Practice Address - Street 2:
Practice Address - City:MCALLEN
Practice Address - State:TX
Practice Address - Zip Code:78501-0121
Practice Address - Country:US
Practice Address - Phone:832-928-4516
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2014-08-15
Last Update Date:2016-08-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes174400000XOther Service ProvidersSpecialistGroup - Single Specialty