Medx Wellness, LLC

Primary specialty

ChiropractorTaxonomy code 111N00000X

Legal business name

MEDX WELLNESS, LLC

Doing business as

HealthSource of De Zavala

Practice address

5886 De Zavala Rd Ste 101
San Antonio, TX 78249-2269

Phone

(214) 642-0733

NPI assigned

Sep 6, 2023

Organization subpart

No

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

Authorized official

Name

Olulana Bamiro

Title

Managing Partner

Phone

(214) 642-0733

Specialties & licenses 1

Addresses

Other names 1

• HealthSource of De Zavala Doing business as

Medicare fee-for-service enrollment

Enrolled in TX

Enrollment records 1

Locations

Practitioners 2

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

• Clarissa Meza

  • Chiropractor
  • San Antonio, TX
  • NPI 1255161816
  Medicare reassignment NPD
• Nesemio Santiago, D.C.

  • Chiropractor
  • Lilburn, GA
  • NPI 1174672109

  TX

  Medicare reassignment NPD

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

{
    "created_epoch": "1693958400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1693958400000",
    "number": "1215713094",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5886 DE ZAVALA RD STE 101",
            "city": "SAN ANTONIO",
            "state": "TX",
            "postal_code": "782492269",
            "telephone_number": "214-642-0733"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5886 DE ZAVALA RD STE 101",
            "city": "SAN ANTONIO",
            "state": "TX",
            "postal_code": "782492269",
            "telephone_number": "214-642-0733"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MEDX WELLNESS, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-09-06",
        "last_updated": "2023-09-06",
        "certification_date": "2023-09-06",
        "status": "A",
        "authorized_official_last_name": "BAMIRO",
        "authorized_official_first_name": "OLULANA",
        "authorized_official_title_or_position": "MANAGING PARTNER",
        "authorized_official_telephone_number": "214-642-0733"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Chiropractor",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "HealthSource of De Zavala",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Medvon Medical Clinic Professional Corporation
• Medwheels
• Medwheels Home Health Inc
• Medwheels Home Health Inc.
• Medwheels Inc
• Mee Nursing, PLLC
• Amber Meegan, LPC ASSOCIATE
• Jeremy Meehan
• John Meehan
• Joanna Hartberg Meek, LPC

• Chiropractor in San Antonio, TX
• Providers in San Antonio, TX by specialty
• Chiropractor in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 6, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.