Organization Active NPI

Healthytex Medical and Wellness, PLLC

  • Multi-Specialty Clinic/Center
  • Grand Prairie, TX
National Provider Identifier
1184498016
Registry record updated May 4, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Multi-Specialty Clinic/CenterTaxonomy code 261QM1300X
Legal business name
HEALTHYTEX MEDICAL AND WELLNESS, PLLC
Practice address
3142 S Highway 161
Grand Prairie, TX 75052-7781
Phone
(469) 804-7410
Fax
(469) 808-0954
NPI assigned
Nov 10, 2023
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 4, 2026

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

Authorized official

Name
Margaret Souphankhaysy
Title
Executive Assistant
Phone
(469) 804-7410

Specialties & licenses 4

Specialty (taxonomy)CodeLicenseStatePrimary
Registered NurseGroup: 193200000X MULTI-SPECIALTY GROUP 163W00000X
Multi-Specialty Clinic/Center 261QM1300X Primary
Nurse PractitionerGroup: 193200000X MULTI-SPECIALTY GROUP 363L00000X
Clinical Nurse SpecialistGroup: 193200000X MULTI-SPECIALTY GROUP 364S00000X

Addresses

Primary practice location

3142 S Highway 161
Grand Prairie, TX 75052-7781

Mailing address

PO Box 210004
Dallas, TX 75211-0004
Phone (469) 804-7410

Other names 1

  • HealthyTex Centers Doing business as

National Provider Directory

National Provider Directory

Locations

3142 S Highway 161
Grand Prairie, TX 75052
Phone (469) 804-7410

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1699574400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1777852800000",
    "number": "1184498016",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 210004",
            "city": "DALLAS",
            "state": "TX",
            "postal_code": "752110004",
            "telephone_number": "469-804-7410",
            "fax_number": "469-333-2129"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3142 S HIGHWAY 161",
            "city": "GRAND PRAIRIE",
            "state": "TX",
            "postal_code": "750527781",
            "telephone_number": "469-804-7410",
            "fax_number": "469-808-0954"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HEALTHYTEX MEDICAL AND WELLNESS, PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-11-10",
        "last_updated": "2026-05-04",
        "certification_date": "2026-05-04",
        "status": "A",
        "authorized_official_last_name": "SOUPHANKHAYSY",
        "authorized_official_first_name": "MARGARET",
        "authorized_official_title_or_position": "EXECUTIVE ASSISTANT",
        "authorized_official_telephone_number": "469-804-7410"
    },
    "taxonomies": [
        {
            "code": "163W00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Registered Nurse",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "261QM1300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Multi-Specialty",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "363L00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Nurse Practitioner",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "364S00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Clinical Nurse Specialist",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "HealthyTex Centers",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "HealthyTex Centers",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Grand Prairie, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 4, 2026; 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.