Magnolia Wellness Center

Primary specialty

ChiropractorTaxonomy code 111N00000X

License

10319 Issued in TX

Legal business name

MAGNOLIA WELLNESS CENTER

Practice address

1846 Interstate 10 S
Suite 102
Beaumont, TX 77707-4439

Phone

(409) 833-0500

Fax

(409) 842-3385

NPI assigned

Apr 6, 2012

Organization subpart

No

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

Authorized official

Name

Dr. Jeffrey Stephen White, D.C.

Title

Chiropractor

Phone

(409) 833-0500

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1333670400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1335398400000",
    "number": "1295091981",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1846 INTERSTATE 10 S",
            "address_2": "SUITE 102",
            "city": "BEAUMONT",
            "state": "TX",
            "postal_code": "777074439",
            "telephone_number": "409-833-0500",
            "fax_number": "409-842-3385"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1846 INTERSTATE 10 S",
            "address_2": "SUITE 102",
            "city": "BEAUMONT",
            "state": "TX",
            "postal_code": "777074439",
            "telephone_number": "409-833-0500",
            "fax_number": "409-842-3385"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MAGNOLIA WELLNESS CENTER",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-04-06",
        "last_updated": "2012-04-26",
        "status": "A",
        "authorized_official_last_name": "WHITE",
        "authorized_official_first_name": "JEFFREY",
        "authorized_official_middle_name": "STEPHEN",
        "authorized_official_title_or_position": "CHIROPRACTOR",
        "authorized_official_telephone_number": "409-833-0500",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.C."
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Chiropractor",
            "state": "TX",
            "license": "10319",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• M.E.N.D. Center LLC
• Ramanpreet Kaur Maan, MD
• Emmett R. Mackan II, M.D.
• Thomas Maddox, CRNA
• Christian Samson Maglalang, DPT
• Larry Wayne Magnuson, MD
• Sara Maguina, DO
• Mark J Mahaffey, DDS
• Brook Rachelle Mahan, D.D.S.
• Yugal Kishore Maheshwari, MD

• Chiropractor in Beaumont, TX
• Providers in Beaumont, TX by specialty
• Chiropractor in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 26, 2012; 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.