Active NPI
Wellness Wings Inc.
- Multi-Specialty Clinic/Center
- Buda, TX
National Provider Identifier
1174430219
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Multi-Specialty Clinic/Center
- Legal business name
- WELLNESS WINGS INC.
- Practice address
- 1518 FM 2001
No. 15801
Buda, TX 78610 - Phone
- (215) 774-3527
- NPI assigned
- Aug 25, 2026
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Jacquiline Medina
- Title
- Ceo
- Phone
- (215) 774-3527
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Multi-Specialty Clinic/Center | 261QM1300X | Primary |
Addresses
Primary practice location
1518 FM 2001
No. 15801
Buda, TX 78610
Mailing address
1910 Pacific Ave Ste 2000
Dallas, TX 75201-4540
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1787616000000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1787616000000",
"number": "1174430219",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1910 PACIFIC AVE STE 2000",
"city": "DALLAS",
"state": "TX",
"postal_code": "752014540"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1518 FM 2001",
"address_2": "NO. 15801",
"city": "BUDA",
"state": "TX",
"postal_code": "78610",
"telephone_number": "215-774-3527"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "WELLNESS WINGS INC.",
"organizational_subpart": "NO",
"enumeration_date": "2026-08-25",
"last_updated": "2026-08-25",
"certification_date": "2026-08-18",
"status": "A",
"authorized_official_last_name": "MEDINA",
"authorized_official_first_name": "JACQUILINE",
"authorized_official_title_or_position": "CEO",
"authorized_official_telephone_number": "215-774-3527"
},
"taxonomies": [
{
"code": "261QM1300X",
"taxonomy_group": "",
"desc": "Clinic/Center, Multi-Specialty",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Buda, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 25, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.