R2 Well Practice Management

Primary specialty

Public Health & General Preventive Medicine PhysicianTaxonomy code 2083P0901X

License

G0723 Issued in TX

Legal business name

R2 WELL PRACTICE MANAGEMENT

Practice address

451 Westpark Way Ste 5
Euless, TX 76040-3703

Phone

(817) 571-6505

NPI assigned

Nov 30, 2017

Organization subpart

No

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

Authorized official

Name

Johnette Van Eeden

Title

Ceo

Phone

(817) 571-6505

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1512000000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1512000000000",
    "number": "1235643149",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "451 WESTPARK WAY STE 5",
            "city": "EULESS",
            "state": "TX",
            "postal_code": "760403703",
            "telephone_number": "817-571-6505"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "451 WESTPARK WAY STE 5",
            "city": "EULESS",
            "state": "TX",
            "postal_code": "760403703",
            "telephone_number": "817-571-6505"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "R2 WELL PRACTICE MANAGEMENT",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-11-30",
        "last_updated": "2017-11-30",
        "status": "A",
        "authorized_official_last_name": "VAN EEDEN",
        "authorized_official_first_name": "JOHNETTE",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "817-571-6505"
    },
    "taxonomies": [
        {
            "code": "2083P0901X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Preventive Medicine, Public Health & General Preventive Medicine",
            "state": "TX",
            "license": "G0723",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Brittney Purnell
• Janine Putnam, M.S. CCC, SLP
• Keith Eugene Pyne, CHIROPRACTOR
• Quickcare
• R Edward Roybal MD PA
• R2 Wellness Medical Group PLLC
• Saad Roshanali Rajabali
• Real Smile Medical Transportation, LLC
• Gene P Ream, M.D.
• Redeem Health, LLC

• Public Health & General Preventive Medicine Physician in Euless, TX
• Providers in Euless, TX by specialty
• Public Health & General Preventive Medicine Physician in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 30, 2017; 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.