Genesis Wellness Institute for Health, LLC

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

Legal business name

GENESIS WELLNESS INSTITUTE FOR HEALTH, LLC

Practice address

12201 Merit Dr
Suite 350
Dallas, TX 75251-2213

Phone

(972) 419-0011

Fax

(972) 239-4489

NPI assigned

Sep 2, 2009

Organization subpart

No

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

Authorized official

Name

Mr. Michael Eugene Walton

Title

Ceo

Phone

(972) 419-0011

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1251849600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1251849600000",
    "number": "1154554418",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "12201 MERIT DR",
            "address_2": "SUITE 350",
            "city": "DALLAS",
            "state": "TX",
            "postal_code": "752512213",
            "telephone_number": "972-419-0011",
            "fax_number": "972-239-4489"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "12201 MERIT DR",
            "address_2": "SUITE 350",
            "city": "DALLAS",
            "state": "TX",
            "postal_code": "752512213",
            "telephone_number": "972-419-0011",
            "fax_number": "972-239-4489"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GENESIS WELLNESS INSTITUTE FOR HEALTH, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-09-02",
        "last_updated": "2009-09-02",
        "status": "A",
        "authorized_official_last_name": "WALTON",
        "authorized_official_first_name": "MICHAEL",
        "authorized_official_middle_name": "EUGENE",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "972-419-0011",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Family Medicine",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Genesis Health Partners PLLC
• Genesis Medical Associates, LLP
• Genesis Mental Health Services LLC
• Genesis PT & Wellness, PLLC
• Genesis Restore Home Healthcare LLC
• Abigail Catherine Genet
• Chelsea Leigh Genet, LPC-A
• Genetic Diagnostic Group
• Genetic Diagnostics
• Genewell Labs LLC

• All providers in Dallas, TX
• Family Medicine Physician in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 2, 2009; 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.