Provider Demographics
NPI:1134792476
Name:WEALTH INFUSION & WELLNESS CLINIC INC
Entity type:Organization
Organization Name:WEALTH INFUSION & WELLNESS CLINIC INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:DIRECTOR
Authorized Official - Prefix:
Authorized Official - First Name:OLASUNKANMI
Authorized Official - Middle Name:
Authorized Official - Last Name:IRANLOYE
Authorized Official - Suffix:
Authorized Official - Credentials:NP
Authorized Official - Phone:240-423-9391
Mailing Address - Street 1:204 CAPTAINS CT
Mailing Address - Street 2:
Mailing Address - City:MANSFIELD
Mailing Address - State:TX
Mailing Address - Zip Code:76063-6838
Mailing Address - Country:US
Mailing Address - Phone:240-423-9391
Mailing Address - Fax:
Practice Address - Street 1:1101 E BARDIN RD STE 141
Practice Address - Street 2:
Practice Address - City:ARLINGTON
Practice Address - State:TX
Practice Address - Zip Code:76018-1150
Practice Address - Country:US
Practice Address - Phone:240-423-9391
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2021-07-23
Last Update Date:2024-05-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QP2300XAmbulatory Health Care FacilitiesClinic/CenterPrimary Care