PHYSICIANS WELLNESS ASSOCIATES PLLC (NPI# 1225506223) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1225506223 |
| Entity Type | Organization |
| Organization Name | PHYSICIANS WELLNESS ASSOCIATES PLLC |
| Practice Address |
1920 East State Highway 114 Southlake TX 76092 |
| Practice Telephone | 8174425698 |
| Practice Fax Number | 8174425633 |
| Mailing Telephone | 8174103800 |
| Mailing Fax Number | 8174106466 |
| Enumeration Date | 2018-11-07 |
| Last Update Date | 2018-11-07 |
| Authorized Official Name | WILLIAM G REILLY (AUTHORIZED OFFICIAL) |
| Authorized Official Telephone | 8174103800 |
| Authorized Official Credential | MD |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207Q00000X | Family Medicine | Allopathic & Osteopathic Physicians |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1992273916 | Physicians Wellness Associates Pllc | Family Medicine | 12213 Pecos Street, Suite 700, Westminster, CO 80234 | 2018-11-07 |
| Street Address |
1920 EAST STATE HIGHWAY 114 |
| City | SOUTHLAKE |
| State | TX |
| Zip Code | 76092 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1730718990 | Elizabeth Beazley | Family Medicine | 1050 E. Hwy 114 Suite 100, Southlake, TX 76092 | 2020-04-08 |
| 1518508894 | Arbor Pediatrics, Pllc | Pediatrics | 1130 N Kimball Ave, Southlake, TX 76092 | 2019-10-08 |
| 1346882685 | Gs Ortho Assists, Pllc | Physician Assistant | 2600 East Southlake Boulevard Suite 120, Southlake, TX 76092 | 2019-10-08 |
| 1609340496 | Rebecca Leigh Lander | Physician Assistant | 1170 N Carroll Ave., Southlake, TX 76092 | 2019-01-15 |
| 1740762459 | Brandi L. Barker | Chiropractor | 590 N. Kimball Ave, Suite 140, Southlake, TX 76092 | 2018-08-30 |
| 1033699228 | Julie A. Seeber | Physical Therapy Assistant | 170 Stonebridge Lane, Southlake, TX 76092 | 2018-08-16 |
| 1992281364 | Alayna Powers | Nurse Practitioner | 900 E Southlake Blvd Ste 300, Southlake, TX 76092 | 2018-07-18 |
| 1346732153 | Amrittej Singh Virk | Dentist | 630 N Kimball Ave Ste 110, Southlake, TX 76092 | 2018-06-06 |
| 1740779594 | Radiant Family Dental Pllc | Dentist | 2012 Southlake Glen Dr., Southlake, TX 76092 | 2018-05-08 |
| 1942797766 | Erb Family Wellness Southlake LLC | Chiropractor | 1845 E Southlake Blvd # 140, Southlake, TX 76092 | 2018-04-17 |
| Find all providers in zip 76092 | ||||
| Taxonomy Code | 207Q00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Family Medicine |
| Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity. |
| Notes: Source: American Board of Family Medicine [1/1/2007: changed title; 7/1/2007: added definition, added source; 7/1/2017: modified definition] - Note: The American Osteopathic Board of Family Physicians certification includes extensive use of Osteopathic Manipulative Treatment (OMT), which integrates the biological, clinical, and behavioral sciences. - Additional Resources: American Board of Family Medicine, www.theabfm.org. American Osteopathic Board of Family Physicians, www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Family Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Family Physicians or the American Board of Family Medicine. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1730718990 | Elizabeth Beazley | Family Medicine | 1050 E. Hwy 114 Suite 100, Southlake, TX 76092 | 2020-04-08 |
| 1518443142 | Rachel Ann Roten | Family Medicine | 900 E Southlake Blvd Ste 200, Southlake, TX 76092-6376 | 2018-07-17 |
| 1043720154 | Healthcare Associates of Southlake LLP | Family Medicine | 2106 E State Highway 114, Ste 300, Southlake, TX 76092 | 2017-10-03 |
| 1538683289 | Nicole Butler | Family Medicine | 620 N Kimball Ave Ste 100, Southlake, TX 76092-6856 | 2017-08-02 |
| 1699132233 | Bull Care, Pllc | Family Medicine | 3120 W Southlake Blvd Ste 100, Southlake, TX 76092-6784 | 2016-01-27 |
| 1851760979 | Colleyville Md Associates | Family Medicine | 305 Boulder Dr, Southlake, TX 76092-3726 | 2015-09-18 |
| 1013391184 | Mediclink Management Group | Family Medicine | 415 E Southlake Blvd Ste 100, Southlake, TX 76092-6279 | 2015-07-17 |
| 1164800744 | William Robert Peeler | Family Medicine | 905 Chimney Hill Trl, Southlake, TX 76092 | 2015-05-14 |
| 1497148613 | Kara Charlotte Farley | Family Medicine | 105 Clariden Ranch Road, Southlake, TX 76092-1133 | 2015-03-12 |
| 1235535105 | Haider Associates LLC | Family Medicine | 523 Indian Paintbrush Way, Southlake, TX 76092-6922 | 2014-11-05 |
| Find all providers in SOUTHLAKE | ||||
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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.