Agape Physical Medicine and Weight Management

Primary specialty

ChiropractorTaxonomy code 111N00000X

License

6507 Issued in TX

Legal business name

AGAPE PHYSICAL MEDICINE AND WEIGHT MANAGEMENT

Practice address

219 S Cedar Ridge Dr
Duncanville, TX 75116-4528

Phone

(972) 283-0255

NPI assigned

Mar 22, 2011

Organization subpart

No

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

Authorized official

Name

Dr. Charles Windsor, D.C.

Title

President

Phone

(972) 832-3512

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1300752000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1301616000000",
    "number": "1245539717",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2147 NECTAR DR",
            "city": "MESQUITE",
            "state": "TX",
            "postal_code": "751498657"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "219 S CEDAR RIDGE DR",
            "city": "DUNCANVILLE",
            "state": "TX",
            "postal_code": "751164528",
            "telephone_number": "972-283-0255"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "AGAPE PHYSICAL MEDICINE AND WEIGHT MANAGEMENT",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-03-22",
        "last_updated": "2011-04-01",
        "status": "A",
        "authorized_official_last_name": "WINDSOR",
        "authorized_official_first_name": "CHARLES",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "972-832-3512",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.C."
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Chiropractor",
            "state": "TX",
            "license": "6507",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• All providers in Duncanville, TX
• Chiropractor in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 1, 2011; 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.