NPIMap

Organization Active NPI

Indelible Health & Wellness LLC

Doing business as Texas Visiting Doctors

  • Family Medicine Physician
  • Grand Prairie, TX
National Provider Identifier
1245569946
Registry record updated Jul 22, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
Legal business name
INDELIBLE HEALTH & WELLNESS LLC
Doing business as
Texas Visiting Doctors
Practice address
3121 S Carrier Pkwy
Grand Prairie, TX 75052-3734
Phone
(972) 266-5354
Fax
(972) 266-7876
NPI assigned
Dec 9, 2009
Last updated
Jul 22, 2010By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 22, 2010

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

Authorized official

Name
Mrs. Pamela R. McCurley
Title
Owner/Office MGR.
Phone
(972) 266-5354

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X Primary

Addresses

Primary practice location

3121 S Carrier Pkwy
Grand Prairie, TX 75052-3734

Mailing address

2601 Tandy Ave
Fort Worth, TX 76103
Phone (972) 266-5354

Other names 1

  • Texas Visiting Doctors Doing business as

National Provider Directory

National Provider Directory

Locations

7441 Marvin D Love Fwy
Ste 300
Dallas, TX 75237
Phone (972) 572-1998

2601 Tandy Ave
#200
Fort Worth, TX 76103
Phone (817) 535-7000

3121 S Carrier Pkwy
Grand Prairie, TX 75052
Phone (214) 649-4686

Practitioners & affiliated clinicians

Practitioners 27

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

View all 27

NPI Registry JSON

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

{
    "created_epoch": "1260316800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1279756800000",
    "number": "1245569946",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2601 TANDY AVE",
            "city": "FORT WORTH",
            "state": "TX",
            "postal_code": "76103",
            "telephone_number": "972-266-5354",
            "fax_number": "972-266-7876"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3121 S CARRIER PKWY",
            "city": "GRAND PRAIRIE",
            "state": "TX",
            "postal_code": "750523734",
            "telephone_number": "972-266-5354",
            "fax_number": "972-266-7876"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "INDELIBLE HEALTH & WELLNESS LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-12-09",
        "last_updated": "2010-07-22",
        "status": "A",
        "authorized_official_last_name": "MCCURLEY",
        "authorized_official_first_name": "PAMELA",
        "authorized_official_middle_name": "R.",
        "authorized_official_title_or_position": "OWNER/OFFICE MGR.",
        "authorized_official_telephone_number": "972-266-5354",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Texas Visiting Doctors",
            "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 Jul 22, 2010; 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.