Van Health and Wellness, PLLC
Organization Active NPI Clinic/Center · Van, TX
NPI 1194482778 · NPPES record last updated Nov 18, 2021
Key facts
- NPI
- 1194482778
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Clinic/Center 261Q00000X
- Legal business name
- VAN HEALTH AND WELLNESS, PLLC
- Practice address
- 488 W. Main Street
Van, TX 75790 - Phone
- (903) 963-6850
- NPI assigned
- Nov 18, 2021
- Organization subpart
- No
Authorized official
- Name
- Constance Bentley, ANP-C
- Title
- Owner
- Phone
- (903) 368-0414
Corporate family (same tax ID) 1
Practitioners 1
-
Constance S Bentley, APRN
National Provider Directory
- Tax ID family
- Van Family Medical
Locations
488 W Main St
Van, TX 75790
Phone (903) 963-6850
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinic/Center | 261Q00000X | Yes |
Addresses
Primary practice location
488 W. Main Street
Van, TX 75790
Mailing address
2299 VZ County Road 4909
Ben Wheeler, TX 75754-4220
Phone (903) 368-0414
Other names
- Van Family Medical
Electronic endpoints
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| SOAP URL | CHARM | Direct |
Other providers in Van, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Nov 18, 2021. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.