The Wellness Center Health and Therapy LLC

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

License

G1140 Issued in TX

Legal business name

THE WELLNESS CENTER HEALTH AND THERAPY LLC

Practice address

5521 Bellaire Dr S Ste 114B
Ft Worth, TX 76109-5855

Phone

(817) 926-9642

NPI assigned

Jun 15, 2017

Last updated

Jul 21, 2022By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Uni Espinoza

Title

Credentialing Clerk

Phone

(512) 358-6009

Specialties & licenses 1

Addresses

Other identifiers 1

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Marissa May Zajac, D.O.

  • Neuromusculoskeletal Medicine & OMM Physician
  • Fort Worth, TX
  • NPI 1710367446
  NPD (past)

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

{
    "created_epoch": "1497484800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1658361600000",
    "number": "1174053755",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5521 BELLAIRE DR S STE 114B",
            "city": "FT WORTH",
            "state": "TX",
            "postal_code": "761095855",
            "telephone_number": "817-926-9642"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5521 BELLAIRE DR S STE 114B",
            "city": "FT WORTH",
            "state": "TX",
            "postal_code": "761095855",
            "telephone_number": "817-926-9642"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "THE WELLNESS CENTER HEALTH AND THERAPY LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-06-15",
        "last_updated": "2022-07-21",
        "status": "A",
        "authorized_official_last_name": "ESPINOZA",
        "authorized_official_first_name": "UNI",
        "authorized_official_title_or_position": "CREDENTIALING CLERK",
        "authorized_official_telephone_number": "512-358-6009"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Family Medicine",
            "state": "TX",
            "license": "G1140",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICAL LICENSE",
            "identifier": "G1140",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

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• Morgan Thelen, PA
• Rudolph A. Theobald, D.C.

• Family Medicine Physician in Fort Worth, TX
• Providers in Fort Worth, 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 Jul 21, 2022; 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.