Twin Creeks Wellness PLLC

Primary specialty

General Practice PhysicianTaxonomy code 208D00000X

Legal business name

TWIN CREEKS WELLNESS PLLC

Doing business as

Anodyne of Allen

Practice address

1511 W McDermott Dr Ste 100
Allen, TX 75013-3036

Phone

(214) 785-7537

Fax

(214) 785-7241

NPI assigned

Nov 16, 2021

Organization subpart

No

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

Authorized official

Name

Mr. JD Hertweck

Title

Operations Manager

Phone

(214) 785-7537

Specialties & licenses 2

Addresses

Other names 1

• Anodyne of Allen Doing business as

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

{
    "created_epoch": "1637020800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1637020800000",
    "number": "1265198055",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1511 W MCDERMOTT DR STE 100",
            "city": "ALLEN",
            "state": "TX",
            "postal_code": "750133036",
            "telephone_number": "214-785-7537",
            "fax_number": "214-785-7241"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1511 W MCDERMOTT DR STE 100",
            "city": "ALLEN",
            "state": "TX",
            "postal_code": "750133036",
            "telephone_number": "214-785-7537",
            "fax_number": "214-785-7241"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "TWIN CREEKS WELLNESS PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-11-16",
        "last_updated": "2021-11-16",
        "certification_date": "2021-11-16",
        "status": "A",
        "authorized_official_last_name": "HERTWECK",
        "authorized_official_first_name": "JD",
        "authorized_official_title_or_position": "OPERATIONS MANAGER",
        "authorized_official_telephone_number": "214-785-7537",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "208100000X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Physical Medicine & Rehabilitation",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "208D00000X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "General Practice",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Anodyne of Allen",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Twin Creeks Dentistry PLLC
• Twin Creeks Hospital LP
• Twin Creeks Physical Therapy PLLC
• Twin Creeks Radiology L P (Envision Imaging of Allen)
• Twin Creeks Surgery Center LLC
• TX Southern Dental PC (Hill Dental Studio)
• Elizabeth Uju Ubani, PMHNP
• Gwendoline O Ugwuibe, AGACNP-BC
• Mackenzie Ulam
• Unionstar Medical Supplies & Services

• General Practice Physician in Allen, TX
• Providers in Allen, TX by specialty
• General Practice Physician in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 16, 2021; 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.