Texas Institute of Sports Medicine and Weight Management

Primary specialty

Rehabilitation ChiropractorTaxonomy code 111NR0400X

License

DC6507 Issued in TX

Legal business name

TEXAS INSTITUTE OF SPORTS MEDICINE AND WEIGHT MANAGEMENT

Practice address

219 S Cedar Ridge Dr
Duncanville, TX 75116-4528

Phone

(469) 279-4039

NPI assigned

Aug 4, 2011

Organization subpart

No

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

Authorized official

Name

Charles David Windsor, D.C.

Title

President

Phone

(469) 279-4039

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1312416000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1312416000000",
    "number": "1164701405",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2147 NECTAR DR",
            "city": "MESQUITE",
            "state": "TX",
            "postal_code": "751498657",
            "telephone_number": "469-279-4039"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "219 S CEDAR RIDGE DR",
            "city": "DUNCANVILLE",
            "state": "TX",
            "postal_code": "751164528",
            "telephone_number": "469-279-4039"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "TEXAS INSTITUTE OF SPORTS MEDICINE AND WEIGHT MANAGEMENT",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-08-04",
        "last_updated": "2011-08-04",
        "status": "A",
        "authorized_official_last_name": "WINDSOR",
        "authorized_official_first_name": "CHARLES",
        "authorized_official_middle_name": "DAVID",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "469-279-4039",
        "authorized_official_credential": "D.C."
    },
    "taxonomies": [
        {
            "code": "111NR0400X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Chiropractor, Rehabilitation",
            "state": "TX",
            "license": "DC6507",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• T. Garrett Family Health and Wellness Clinic
• Talk Spot Counseling PLLC
• Shawna Latrice Tatum, BSN, RN, CCM
• Shaheen Taylor, LMT
• Terrence Taylor, DNP
• Texas Institute of Sports Medicine and Weight Management
• Texas Medical Inc
• Texas Mental Health & Behavior LLC
• Texas Minimally Invasive Surgery Center, PA
• Texcare Express

• Rehabilitation Chiropractor in Duncanville, TX
• Providers in Duncanville, TX by specialty
• Rehabilitation Chiropractor in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 4, 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.