DFW Family Health & Wellness Center LLC

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

Legal business name

DFW FAMILY HEALTH & WELLNESS CENTER LLC

Practice address

125 W. State Hwy 121 Bypass
Suite 100
Coppell, TX 75019

Phone

(469) 848-0844

NPI assigned

May 6, 2024

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Bhawana Pradhan

Title

Owner

Phone

(469) 848-0844

Specialties & licenses 1

Addresses

Other names 1

• DFW FAMILY HEALTH & WELLNESS CENTER LLC Former legal business name

Locations

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1714953600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1714953600000",
    "number": "1083461032",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7400 KENSINGTON LN",
            "city": "IRVING",
            "state": "TX",
            "postal_code": "750631225"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "125 W. STATE HWY 121 BYPASS",
            "address_2": "SUITE 100",
            "city": "COPPELL",
            "state": "TX",
            "postal_code": "75019",
            "telephone_number": "469-848-0844"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DFW FAMILY HEALTH & WELLNESS CENTER LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-05-06",
        "last_updated": "2024-05-06",
        "certification_date": "2024-04-29",
        "status": "A",
        "authorized_official_last_name": "PRADHAN",
        "authorized_official_first_name": "BHAWANA",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "469-848-0844"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Family Medicine",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "DFW FAMILY HEALTH & WELLNESS CENTER LLC",
            "code": "4",
            "type": "Former Legal Business Name"
        }
    ]
}

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• Family Medicine Physician in Coppell, TX
• Providers in Coppell, TX by specialty
• Family Medicine Physician in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 6, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.