Abundant Life Wellness Center

Primary specialty

NaturopathTaxonomy code 175F00000X

Legal business name

ABUNDANT LIFE WELLNESS CENTER

Practice address

3345 Western Center Blvd
Suite 140
Fort Worth, TX 76137-1937

Phone

(817) 847-0900

Fax

(817) 847-0929

NPI assigned

May 5, 2011

Organization subpart

No

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

Authorized official

Name

Jennifer Trejo

Title

Naturopath/Owner

Phone

(817) 847-0900

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1304553600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1304553600000",
    "number": "1114219334",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3345 WESTERN CENTER BLVD",
            "address_2": "SUITE 140",
            "city": "FORT WORTH",
            "state": "TX",
            "postal_code": "761371937",
            "telephone_number": "817-847-0900",
            "fax_number": "817-847-0929"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3345 WESTERN CENTER BLVD",
            "address_2": "SUITE 140",
            "city": "FORT WORTH",
            "state": "TX",
            "postal_code": "761371937",
            "telephone_number": "817-847-0900",
            "fax_number": "817-847-0929"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ABUNDANT LIFE WELLNESS CENTER",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-05-05",
        "last_updated": "2011-05-05",
        "status": "A",
        "authorized_official_last_name": "TREJO",
        "authorized_official_first_name": "JENNIFER",
        "authorized_official_title_or_position": "NATUROPATH/OWNER",
        "authorized_official_telephone_number": "817-847-0900"
    },
    "taxonomies": [
        {
            "code": "175F00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Naturopath",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Naturopath in Fort Worth, TX
• Providers in Fort Worth, TX by specialty
• Naturopath in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 5, 2011; 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.