Provider Demographics
NPI:1871196857
Name:PREMIER WELLNESS URGENT CARE CLINIC PLLC
Entity type:Organization
Organization Name:PREMIER WELLNESS URGENT CARE CLINIC PLLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PROVIDER
Authorized Official - Prefix:DR
Authorized Official - First Name:AMER
Authorized Official - Middle Name:
Authorized Official - Last Name:SHAKIL
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:972-693-6604
Mailing Address - Street 1:2833 W ELDORADO PKWY STE 307
Mailing Address - Street 2:
Mailing Address - City:LITTLE ELM
Mailing Address - State:TX
Mailing Address - Zip Code:75068-3540
Mailing Address - Country:US
Mailing Address - Phone:972-292-0300
Mailing Address - Fax:972-292-0301
Practice Address - Street 1:2833 W ELDORADO PKWY STE 307
Practice Address - Street 2:
Practice Address - City:LITTLE ELM
Practice Address - State:TX
Practice Address - Zip Code:75068-3540
Practice Address - Country:US
Practice Address - Phone:972-292-0300
Practice Address - Fax:972-292-0301
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2020-11-20
Last Update Date:2020-11-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QU0200XAmbulatory Health Care FacilitiesClinic/CenterUrgent Care