Organization Active NPI

Wellness Physician Services, PA

  • Specialist
  • Wichita Falls, TX
National Provider Identifier
1215231980
Registry record updated Mar 4, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
SpecialistTaxonomy code 174400000X
Legal business name
WELLNESS PHYSICIAN SERVICES, PA
Practice address
2611 Harrison St
800
Wichita Falls, TX 76308-1361
Phone
(940) 723-5698
Fax
(940) 322-4514
NPI assigned
Jan 10, 2011
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 4, 2015

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

Authorized official

Name
Dr. David Whittiker, M.D
Title
President
Phone
(940) 723-5698

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
SpecialistGroup: 193200000X MULTI-SPECIALTY GROUP 174400000X Primary

Addresses

Primary practice location

2611 Harrison St
800
Wichita Falls, TX 76308-1361

Mailing address

2611 Harrison St
800
Wichita Falls, TX 76308-1361
Phone (940) 723-5698

National Provider Directory

National Provider Directory

Locations

2611 Harrison St
#800
Wichita Falls, TX 76308
Phone (940) 322-5477

NPI Registry JSON

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

{
    "created_epoch": "1294617600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1425427200000",
    "number": "1215231980",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2611 HARRISON ST",
            "address_2": "800",
            "city": "WICHITA FALLS",
            "state": "TX",
            "postal_code": "763081361",
            "telephone_number": "940-723-5698",
            "fax_number": "940-322-4514"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2611 HARRISON ST",
            "address_2": "800",
            "city": "WICHITA FALLS",
            "state": "TX",
            "postal_code": "763081361",
            "telephone_number": "940-723-5698",
            "fax_number": "940-322-4514"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WELLNESS PHYSICIAN SERVICES, PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-01-10",
        "last_updated": "2015-03-04",
        "status": "A",
        "authorized_official_last_name": "WHITTIKER",
        "authorized_official_first_name": "DAVID",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "940-723-5698",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Specialist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Wichita Falls, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 4, 2015; 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.