Provider Demographics
NPI:1871175653
Name:WE CARE WELLNESS CLINIC & HOME VISITS PLLC
Entity type:Organization
Organization Name:WE CARE WELLNESS CLINIC & HOME VISITS PLLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PROVIDER, OWNER
Authorized Official - Prefix:
Authorized Official - First Name:DINA
Authorized Official - Middle Name:A
Authorized Official - Last Name:CAVAZOS
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:361-688-9334
Mailing Address - Street 1:PO BOX 71732
Mailing Address - Street 2:
Mailing Address - City:CORPUS CHRISTI
Mailing Address - State:TX
Mailing Address - Zip Code:78467-1732
Mailing Address - Country:US
Mailing Address - Phone:361-452-1088
Mailing Address - Fax:361-792-2544
Practice Address - Street 1:5262 S STAPLES ST # 330
Practice Address - Street 2:
Practice Address - City:CORPUS CHRISTI
Practice Address - State:TX
Practice Address - Zip Code:78411-4116
Practice Address - Country:US
Practice Address - Phone:361-452-1088
Practice Address - Fax:361-792-2544
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2021-04-22
Last Update Date:2021-08-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QM1300XAmbulatory Health Care FacilitiesClinic/CenterMulti-Specialty