ROCKWALL COLONICS & WELLNESS, LLC


Address: 2455 Ridge Rd Ste 151, Rockwall, TX 75087-5538
Phone: 9727718900

ROCKWALL COLONICS & WELLNESS, LLC (NPI# 1912515404) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1912515404
Entity Type Organization
Organization Name ROCKWALL COLONICS & WELLNESS, LLC
Practice Address 2455 Ridge Rd Ste 151
Rockwall
TX 75087-5538
Practice Telephone 9727718900
Mailing Telephone 9727718900
Enumeration Date 2020-07-21
Last Update Date 2020-07-21
Authorized Official Name DOMINIQUE M ROBINSON (OWNER)
Authorized Official Telephone 9727718900
Is Organization Subpart N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 261QP2300X Clinic/Center
Specialization: Primary Care
Ambulatory Health Care Facilities

Other Provider/Organization Names

Other Name Type Code
Rockwall Complete Healing and Wellness Doing Business As Name - Organization

Office Location

Street Address 2455 RIDGE RD STE 151
City ROCKWALL
State TX
Zip Code 75087-5538

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1104452309 Schweers Dental Pllc Clinic/Center 3005 N Goliad St., Suite 110, Rockwall, TX 75087 2020-03-19
1467091611 Elsa Varughese Nurse Practitioner 414 Garrett Dr, Rockwall, TX 75087 2020-01-04
1578105391 Jaya Raji Mathai Psychiatry & Neurology 2249 Ridge Rd., Rockwall, TX 75087 2019-10-14
1104326784 Eunice B Ontita Nurse Practitioner 601 White Hills Dr., Suite 100, Rockwall, TX 75087 2018-02-20
1053811885 Emelda Fehnyui Ndinjiakat Licensed Vocational Nurse 610 Louder Way, Fate, TEXAS 75087 2018-02-19
1588163885 January Lauren Green Nurse Practitioner 6800 Heritage Parkway, Suite 201, Rockwall, TX 75087 2018-02-02
1093268328 Anouk Family Chiropractic, Pllc Chiropractor 2555 Ridge Rd #150, Rockwall, TX 75087 2016-08-03
1962858134 Katherine L. Crane Counselor 302 W. Kaufman St., Rockwall, TX 75087 2016-05-06
1669841102 Richard Carroll Smith Obstetrics & Gynecology 2120 Clubview, Rockwall, TX 75087 2015-09-15
1033598032 Michelle Knight Massage Therapist 767 Justin Rd, Rockwall, TX 75087 2015-05-22
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Taxonomy Information

Taxonomy Code 261QP2300X
Grouping Ambulatory Health Care Facilities
Classification Clinic/Center
Specialization Primary Care

Taxonomy Definition

Definition to come...

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1275919623 William J. Fieldsmith Md, Pa Clinic/Center 2313 Ridge Rd Ste 102, Rockwall, TX 75087-5141 2015-08-08

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1902403769 Apogee Health Promotions Clinic/Center 105 Cottage Rd # B, Carthage, TX 75633-1507 2020-10-05
1447857255 Fairgrounds Family Clinic Pllc Clinic/Center 4505 Hummingbird Ln N, Harlingen, TX 78552-2422 2020-10-05
1508463605 Kk Martinez & Associates LLC Clinic/Center 13180 Fm 529 Rd Ste A, Houston, TX 77041-2652 2020-10-02
1659987022 Specialists In Geriatric and Palliative Care Medicine Pllc Clinic/Center 8198 Walnut Hill Lane, Jackson Bldg, Suite 100, Dallas, TX 75231 2020-09-21
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Competitor

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City ROCKWALL
Zip Code 75087

Improve Information

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Dataset Information

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.

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