Redbird Wellness PLLC

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

License

P0890 Issued in TX

Legal business name

REDBIRD WELLNESS PLLC

Practice address

1251 E Red Bird LN
Dallas, TX 75241-2008

Phone

(214) 374-0827

NPI assigned

Nov 19, 2013

Organization subpart

No

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

Authorized official

Name

Dr. Anshul Agarwal, MD, PHD

Title

Medical Director

Phone

(214) 374-0827

Specialties & licenses 2

Addresses

Locations

Practitioners 4

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

• Kelsey Carpenter, PA-C

  • Physician Assistant
  • Dallas, TX
  • NPI 1801371893
  NPD (past)
• Aniraphone Laochareun

  • Physician Assistant
  • Dallas, TX
  • NPI 1093203176
  NPD (past)
• Ummal B Mahuwala, PA-C

  • Physician Assistant
  • Dallas, TX
  • NPI 1124395025
  NPD (past)
• Tamika L Perry, D.O.

  • Family Medicine Physician
  • Desoto, TX
  • NPI 1649237710
  NPD (past)

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

{
    "created_epoch": "1384819200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1384819200000",
    "number": "1285064774",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1251 E RED BIRD LN",
            "city": "DALLAS",
            "state": "TX",
            "postal_code": "752412008"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1251 E RED BIRD LN",
            "city": "DALLAS",
            "state": "TX",
            "postal_code": "752412008",
            "telephone_number": "214-374-0827"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "REDBIRD WELLNESS PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-11-19",
        "last_updated": "2013-11-19",
        "status": "A",
        "authorized_official_last_name": "AGARWAL",
        "authorized_official_first_name": "ANSHUL",
        "authorized_official_title_or_position": "MEDICAL DIRECTOR",
        "authorized_official_telephone_number": "214-374-0827",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD, PHD"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Family Medicine",
            "state": "TX",
            "license": "P0890",
            "primary": true
        },
        {
            "code": "207U00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Nuclear Medicine",
            "state": "TX",
            "license": "P0890",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Red River Pain Management
• Red River Spine Institute
• Red Sea Non Emergency Transport LLC
• Mary F. Red, WHCNP
• Redbird Square Endoscopy Center LLC
• Redbud Counseling Services, PLLC
• Lauren Ann Redd, PA-C
• Lucas Redd, M.D.
• Pzoflin Redd
• Tam Nguyen Redd, M.D.

• Family Medicine Physician in Dallas, TX
• Providers in Dallas, TX by specialty
• Family Medicine Physician in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 19, 2013; 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.