ABUNDANT WELLNESS PC (NPI# 1043468408) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1043468408 |
| Entity Type | Organization |
| Organization Name | ABUNDANT WELLNESS PC |
| Other Organization Name | WELL SPINE AT VISTA |
| Practice Address |
1919 S. Shiloh Ste 107 Garland TX 75042-8234 |
| Practice Telephone | 9728402520 |
| Practice Fax Number | 9728402435 |
| Mailing Telephone | 9728402520 |
| Mailing Fax Number | 9728402435 |
| Enumeration Date | 2008-08-28 |
| Last Update Date | 2016-03-14 |
| Authorized Official Name | JAMES A MIXON (OWNER) |
| Authorized Official Telephone | 9728402520 |
| Authorized Official Credential | DC |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 111N00000X | Chiropractor | 9902 | TX | Chiropractic Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| TX | BCBS | 608122 | 01 |
| Other Name | Type Code |
|---|---|
| WELL SPINE AT VISTA | Doing Business As Name - Organization |
| Street Address |
1919 S. SHILOH STE 107 |
| City | GARLAND |
| State | TX |
| Zip Code | 75042-8234 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1699259697 | Abiodun Gloria Irabor-musa | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 3106 Centennial Dr, Garland, TX 75042 | 2018-09-17 |
| 1356870620 | Brad Taylor Landrum | Family Medicine | 601 Clara Barton Blvd., Suite 340, Garland, TX 75042 | 2017-06-08 |
| 1043662034 | Alicia Valdiviezo | Physician Assistant | 2046 Forest Ln Ste 130, Garland, TX 75042 | 2016-07-01 |
| 1053711184 | Jamette Hickman | Physical Therapist | 705 Walter Reed Blvd Suite 100, Garland, TX 75042 | 2014-08-26 |
| 1619397932 | Saint Catherine Hospice Inc. | Hospice, Inpatient | 4229 Glenhaven Drive, Garland, TX 75042 | 2014-04-25 |
| 1821424094 | Angel Care Team | Adult Companion | 1801 Evelyn Dr., Garland, TX 75042 | 2013-09-19 |
| 1427311042 | Baylor Family Medicine Clinic | Case Manager/Care Coordinator | 601 Clara Barton, 340, Garland, TX 75042 | 2012-06-19 |
| 1003176959 | Benedict Eric Homer | Dentist | 813 North Jupiter Rd., Garland, TX 75042 | 2012-05-25 |
| 1518254929 | Rama Sulochana Narla | Emergency Medicine | 601, Clara Barton Blvd, Ste 340, Garland, TX 75042 | 2011-07-06 |
| 1093002917 | Mecca Group | Community/Behavioral Health | 1213 Patricia Ln, Garland, TX 75042 | 2011-06-29 |
| Find all providers in zip 75042 | ||||
| Taxonomy Code | 111N00000X |
| Grouping | Chiropractic Providers |
| Classification | Chiropractor |
| A provider qualified by a Doctor of Chiropractic (D.C.), licensed by the State and who practices chiropractic medicine -that discipline within the healing arts which deals with the nervous system and its relationship to the spinal column and its interrelationship with other body systems. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1578128831 | Cody Academia | Chiropractor | 709 Water Oak Dr, Garland, TX 75044-2552 | 2019-05-02 |
| 1538642335 | Gordon Wendel Newell | Chiropractor | 6417 Faircove Cir, Garland, TX 75043-6100 | 2018-09-08 |
| 1689048084 | Ana Laura Bonilla | Chiropractor | 3630 N Shiloh Rd, Garland, TX 75044-6630 | 2015-11-23 |
| 1407230816 | Garland Wellness & Rehab Center, LLC | Chiropractor | 3112 N Jupiter Rd Ste 310, Garland, TX 75044-6564 | 2015-07-15 |
| 1386068682 | Oc Chiropractic | Chiropractor | 4750 N. Jupiter Rd, Ste 219, Garland, TX 75044 | 2014-02-07 |
| 1841544301 | Chiro One Wellness Center of Garland Pllc | Chiropractor | 375 Cedar Sage Dr, Suite 280, Garland, TX 75040-2990 | 2012-11-06 |
| 1699042762 | Stacey King Dc Pllc | Chiropractor | 1720 N 1st St, Ste A, Garland, TX 75040-4702 | 2011-11-17 |
| 1780908822 | Beau Lejeune Dc Pa | Chiropractor | 1332 Belt Line Rd, Ste A, Garland, TX 75040-3266 | 2010-03-18 |
| 1003057977 | Ronald Edward Kohlstrand Jr. | Chiropractor | 3250 W Walnut St, Garland, TX 75042-6307 | 2009-03-23 |
| 1194962373 | Dr. Andy Chiropractic | Chiropractor | 2334 W Buckingham Rd Ste 360, Garland, TX 75042-3940 | 2009-01-09 |
| Find all providers in GARLAND | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.